ABSTRACT The Khasia tribes people, living within the fringe of reserved forests of Moulvibazar district, traditionally have been growing betel leaf on naturally growing trees. Each family has been allocated 1.21 hectares of land for farming and 0.06 hectares for dwelling houses and homegardens. While deforestation is a serious concern in Bangladesh, the Khasia tribe living within the forests are protecting and conserving the biodiversity in trees through their livelihood activities in the forest—consuming and selling betel leaf, betel nuts and fruits from support trees, and firewood. The productivity of betel leaf depends on maintaining a mixture of support trees varying in age and density. The association of betel leaf with Artocarpus chaplasha has been found to be most productive in terms of cash return. However, the forests are mixtures of tree species of low commercial value, with relatively little Artocarpus chaplasha. The net present value from betel leaf, fruits and fuelwood during a 12 years rotation of betel leaf, using an interest rate of 8.5% was Taka 2,039,673 (US$34,571) with an annuity value was Taka 96,069 (US$1,628). The benefit: cost ratio for betel leaf production was 5.47, making it a both profitable and sustainable hill farming system—maintaining soil fertility, stable production and providing employment opportunities to the people living inside and outside the forests. Improvements through integrating higher value crops with betel leaf will bring additional benefit to the Khasia tribes people.