Madagascar's endemic freshwater crayfish (Parastacidae: Astacoides) are harvested by local people for both subsistence use and small-scale trade. There has been concern that populations, and even species, are threatened by overexploitation but little is known about the harvest or its economic importance. We studied crayfish exploitation in eastern Madagascar over 3 years. The existence of local taboos (fady) preventing commercial crayfish harvesting, as well as access to markets and forest, influenced involvement in the harvest. All four crayfish species found in the region were harvested, but A. granulimanus provided the majority of the catch. In one harvesting village more than 50% of the 47 households were directly involved in the harvest, which contributed USD 2,382 to the village economy in 2003/2004, an important sum in the context of local incomes. Subsistence use was widespread, particularly by children to whom it may provide an important protein source. Community-based conservation (through transfer of harvesting rights and responsibilities for forest management to local communities) is central to a new conservation paradigm in Madagascar. This recognizes communities' long term interest in their natural resources and offers an ideal opportunity for those concerned with the sustainability of the harvest to implement management tools (such as avoiding reproductive females, size limits and no-take zones). We discuss each tool with respect to biological implications and practical constraints. We note that community-based approaches may not be sufficient to conserve rarer species, which make up a small proportion of the value of the harvest.