Fetching details from the dictionary...

to make a decision; to draw a conclusion
to give a judgement; to hand down a verdict; to pass a sentence; to give an order
to let go down; to lower
to do oneself; to do by oneself
to beat; to defeat
to have loose bowels; to have diarrhea
to pass (in stool); to discharge from the body
to do in one go; to do to the end without stopping
裁判所がついに判決を下しました。
The court has made a decision.
社長が命令を下すのを待っています。
We are waiting for the company president to give orders.
最終的な結論を下す必要がある。
We need to draw a final conclusion.