Outbreaks of the southern pine beetle (SPB) Dendroctonus frontalis Zimmermann in Central America have had a devastating impact on pine forests. It remains unclear to what extent these outbreaks are caused by the beetle’s ecology, climate, and historical management practices. Using research data and experience accumulated in northern latitudes to guide management of forests in Central America is associated with great uncertainty, given the many unique features of the conifer forests in this region. The main recommendation from this review is that Central American bark beetle outbreaks need to be studied locally, and the local climate, biotic elements, and silvicultural history need to be considered. The key to reducing the impacts of SPB in Central America are local research and implementation of proactive management, in order to facilitate the establishment of forests more resilient to increasing environmental and anthropogenic pressures.