Trees fall naturally into rivers generating flow heterogeneity, inducing geomorphological features, and creating habitats for biota. Wood is increasingly used in restoration projects and the potential of wood acting as leaky barriers to deliver natural flood management by 'slowing the flow' is recognised. However, wood in rivers can pose a risk to infrastructure and locally increase flood hazards. The aim of this paper is to provide an up-to-date summary of the benefits and risks associated with using wood to promote geomorphological processes to restore and manage rivers. This summary was developed through a workshop that brought together academics, river managers, restoration practitioners and consultants in the UK to share science and best practice on wood in rivers. A consensus was developed on four key issues: (i) hydrogeomorphological effects, (ii) current use in restoration and management, (iii) uncertainties and risks and (iv) tools and guidance required to inform process-based restoration and management.