Summary CO 2 efflux from stems (CO 2_stem) accounts for a substantial fraction of tropical forest gross primary productivity, but the climate sensitivity of this flux remains poorly understood.We present a study of tropical forest CO 2_stem from 215 trees across wet and dry seasons, at the world's longest running tropical forest drought experiment site.We show a 27% increase in wet season CO 2_stem in the droughted forest relative to a control forest. This was driven by increasing CO 2_stem in trees 10–40 cm diameter. Furthermore, we show that drought increases the proportion of maintenance to growth respiration in trees > 20 cm diameter, including large increases in maintenance respiration in the largest droughted trees, > 40 cm diameter. However, we found no clear taxonomic influence on CO 2_stem and were unable to accurately predict how drought sensitivity altered ecosystem scale CO 2_stem, due to substantial uncertainty introduced by contrasting methods previously employed to scale CO 2_stem fluxes.Our findings indicate that under future scenarios of elevated drought, increases in CO 2_stem may augment carbon losses, weakening or potentially reversing the tropical forest carbon sink. However, due to substantial uncertainties in scaling CO 2_stem fluxes, stand‐scale future estimates of changes in stem CO 2 emissions remain highly uncertain.