Globally, ecosystems have suffered from anthropogenic stressors as we enter the sixth mass extinction within the Anthropocene. In response, the UN has declared 2020-2030 the Decade for Ecosystem Restoration, aiming to mitigate ecosystem degradation and biodiversity loss. Freshwater ecosystems are disproportionately impacted relative to marine or terrestrial systems and ecological restoration is needed to preserve biodiversity and ecosystem services. Paradoxically, freshwater is among Earth's most vital ecosystem services. Here we identify meaningful considerations from a freshwater perspective that will lead to progression toward the restoration of freshwater ecosystems: work across terrestrial and freshwater boundaries during restoration, emulate nature, think and act on a watershed scale, design for environmental heterogeneity, mitigate threats alongside restoration, identify bright spots, think long term (a decade is not long enough), and embrace social-ecological systems thinking. Further, we reflect upon the three implementation pathways identified by the UN to translate these considerations into practice in hopes of "bending the curve" for freshwater biodiversity and ecosystems. Pathway 1, building a global movement, could create a network to share experiences and knowledge promoting vicarious learning, ultimately leading to more effective restoration. Pathway 2, generating political support, will be necessary to institutionalize ecosystem protection and restoration by demonstrating the value of freshwater ecosystems and biodiversity. Pathway 3, building technical capacity, aims to improve