Background: Forest managers must deal with inherently stochastic ecological and economic processes. The future growth of trees is uncertain, and so is their value. The randomness of low-impact, high frequency or rare catastrophic shocks in forest growth has significant implications in shaping the mix of tree species and the forest landscape. In addition, the fluctuations of wood prices influence greatly forest revenues. Methods: Markov decision process models (MDPs) offer a rigorous and practical way of developing optimum management strategies, given these multiple sources of risk. Results: Examples illustrate how such management guidelines are obtained with MDPs for combined ecological and economic objectives, including diversity of tree species and size, landscape diversity, old growth preservation, and carbon sequestration. Conclusions: The findings illustrate the power of the MDP approach to deal with risk in forest resource management. They recognize that the future is best viewed in terms of probabilities. Given these probabilities, MDPs tie optimum adaptive actions strictly to the state of the forest and timber prices at decision time. The methods are theoretically rigorous, numerically efficient, and practical for field implementation.