Spruce budworm (Choristoneura fumiferana) is the most important pest of conifer forests in Eastern North America. The main approach to protect Quebec forests against this defoliator is aerial spraying of insecticides. Despite the crucial role of aerial spraying of insecticides in the global forest protection strategy, little is known about its real impact on tree mortality reduction or the stand characteristics that may affect its long-term efficacy. We evaluate the efficacy of the protection program implemented between 1967 and 1992 in reducing tree mortality during the previous outbreak in Quebec and how its efficacy is affected by stand characteristics such as drainage quality and stand age. We established 422 plots in Eastern Quebec based on the following parameters: insecticide application (0-13 years), stand composition, drainage quality, and stand age at the beginning of the previous outbreak. Our results show that unprotected plots exhibited in average between 18 and 32.6% higher mortality than protected plots. Insecticide efficacy was affected by drainage quality. For example, protected plots established on sites with bad drainage quality exhibited 49% less balsam fir mortality than unprotected plots. Furthermore, immature and mature protected stands exhibited a similar reduction in balsam fir mortality (32.2 and 32.1% less mortality respectively) compare to unprotected stands. Our results may be useful for decision-makers not only to decide where and when apply insecticides during a spruce budworm outbreak but also, they may help to determine the pertinence of continuous protection during longer than usual outbreaks depending on protection goal.