A decision tree was developed as a tool to support decision making on control measures during the first days after the declaration of an outbreak of foot-and-mouth disease (FMD). The objective of the tree was to minimise direct costs and export losses of FMD epidemics under several scenarios. These scenarios were based on important determinants in the development of epidemics and therefore defined by livestock and herd density in the outbreak region, the possibility of airborne spread, and the time between first infection and first detection. The starting point of the tree was an epidemiological model based on a deterministic SIR approach. The effect of four control strategies on FMD dynamics was modelled. In addition to the standard control strategy of stamping-out and culling of high-risk contact herds, strategies involving ring culling within 1 km of an infected herd, ring vaccination within 1 km of an infected herd, and ring vaccination within 3 km of an infected herd were assessed. An economic model converted outbreak and control effects of farming and processing operations into estimates of direct costs and consequential export losses. Results showed that animal density within the outbreak region is a very important determinant in deciding on the economically optimal control strategy. Ring vaccination is the economically optimal control strategy for densely populated livestock areas whereas ring culling is the economically optimal control strategy for sparsely populated livestock areas.