Ecosystem services are often conceptualised as a unidirectional flow of services from nature (SfN) to societies, neglecting services provided by societies to nature (StN). Using respondents from four Ga/Dangme communities in the Greater Accra Region of Ghana, this study sought to develop a scale for measuring the dimensions of perceived StN and SfN, assess the interactional effects between them and determine the changes they have undergone over time. Results showed that from 1987 to 2018, the services provided by the Ga/Dangme to nature were predominantly restoring services (through nature-rejuvenating activities like planting and pruning) and protecting services (via safeguarding measures such as taboos and prohibitions) while they received provisioning (food, water, fuel) and cultural services (which satisfy non-material needs including identity and spirituality) from nature. The study found a symbiotic relationship between StN and SfN as  had a positive interactional effect on cultural and restoring services and a negative effect on protecting services. Cultural services, as well, positively influenced protecting and restoring services. The main determinants of StN and SfN were the level of vegetation cover, the land cover type and the belief that nature is an abode for numinous beings. The effects of the socio-demographic characteristics of respondents on StN and SfN and were marginal. We recommend that to ensure environmental , environmentalists should concentrate on cultural services that improve restoring and protecting services. Thus, traditional beliefs need to be contextualised and organised for transfer to younger generations through cultural channels.