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
上司が重要な決断を降すのに時間がかかる。
It takes time for the boss to make important decisions.
裁判所が最終的な判決を降した。
The court handed down its final verdict.
彼は最終的な判断を降す勇気がある。
He has the courage to make the final decision.