Instream wood plays an important role in stream morphology and creation of fish habitat in conifer forests throughout the temperate zone. In some regions, such as the US Pacific Northwest, many streams currently have reduced amounts of instream wood due to past management activities (timber harvest, wood removal, etc.). These reductions exist against a backdrop of naturally dynamic amounts and distributions of instream wood, which likely fluctuate over time based in part on the stage of development (disturbance and succession) in adjacent riparian forests. Despite many studies on both forest development and instream wood accumulation, the linkages between these processes have not been fully described, particularly as they relate to stream restoration needs. In this paper, we combine literature on forest development, disturbance, and processes that drive instream wood recruitment to more explicitly connect the temporal dynamics of stream wood inputs with the dynamics of adjacent riparian forests. We use moist forests of the Pacific Northwest as an exemplary system, from which to draw broadly applicable patterns for landscapes influenced by stand-replacing disturbance regimes. This conceptual model highlights a U-shaped pattern of instream wood recruitment, in which instream wood is highest after a stand-replacing disturbance and during the old-growth stage, and lowest through the middle stages of forest development (currently the most abundant stages in many landscapes as a result of past forest management practices). This mid-successional period of scarce wood is likely exacerbated in streams with a history of wood removal. The U-shaped pattern suggests that, without higher-than-average levels of disturbance, many streams in landscapes dominated by mid-successional second-growth forests (∼30–80 yr old) will be deficient of instream wood until forest stands are over 200 years old. As such, the balance between the predominant riparian conservation strategy of passive restoration (e.g., unharvested riparian reserves) and the alternative of active restoration (e.g., wood additions and (or) riparian stand treatments) should be carefully considered, depending on management objectives, site context, and potential tradeoffs over time.