Decision balance sheet is used to take important decisions and select the best solution and prevent making wrong decision. It is an effective decision making method to take balanced decisions. Pros and Cons are tabulated. Short term and long term pros and Cons are listed. It is useful in a team to encourage multiple perspectives to reach a consensus. Weightage is given to different pros and cons for scoring and choosing best option. We need to be objective while scoring. Subtract total cons from total pros for each column on the table. This is used for both business and personal decision making. For example take important decision of making a move and accepting new job offer. Extension of this tool is PMI which stands for plus minus and interesting.