Abstract. We describe a new interpretation of the fractional GJMS operators as generalized Dirichlet-to-Neumann operators associated to weighted GJMS operators on naturally associated smooth metric measure spaces. This gives a geometric interpretation of the Caffarelli-Silvestre extension for (−∆) γ when γ ∈ (0, 1), and both a geometric interpretation and a curved analogue of the higher order extension found by R. Yang for (−∆) γ when γ > 1. We give three applications of this correspondence. First, we exhibit some energy identities for the fractional GJMS operators in terms of energies in the compactified Poincaré-Einstein manifold, including an interpretation as a renormalized energy. Second, for γ ∈ (1, 2), we show that if the scalar curvature and the fractional Q-curvature Q 2γ of the boundary are nonnegative, then the fractional GJMS operator P 2γ is nonnegative. Third, by assuming additionally that Q 2γ is not identically zero, we show that P 2γ satisfies a strong maximum principle.