Multi-stakeholder mechanisms have been touted as a more democratic and equitable alternative to forest and land use decision-making. It has been argued that these processes do not address power relations and thus maintain the status quo. In this chapter, we examine eight Multi-stakeholder fora in the Peruvian Amazon, half of which have been set up in the Madre de Dios region, and the other half in the San Martin region, both in the Peruvian Amazon. These regions represent two different poles of development paradigms in Peru. While the chapter does not provide a definitive answer around whether multi-stakeholder processes can address power inequalities, three preliminary ideal types are used to analyze these mechanisms, drawn from a realist synthesis review of the literature: decision-making, management and influence. This chapter illuminates how multi-stakeholder fora are affected by their contexts, as well as their process and outcomes.