Lake Pend Oreille and the Clark Fork River provide essential ecosystem services, including fisheries and hydroelectric power, to residents of Montana, Idaho, and Washington. Although conflicts exist, these services are maintained in concert by emergent sociocultural services created by a multi-institutional, transboundary collaboration. This has been enabled by an innovative Federal Energy Regulatory Commission license settlement agreement among a multitude of stakeholders. The consensus-based agreement promotes connections among people, projects, waterways, and fish populations. Collaborative management efforts allow stakeholders to address controversial issues, such as invasive fish suppression. We demonstrate how reciprocal cultural ecosystem services and services to ecosystems can enable ecosystem-scale restoration that addresses invasive species, habitat protection, and water quality management. Continued ecosystem management success relies on sustaining the relationship-building and shared knowledge services that have emerged over the past 25 years.