Pome fruits, including apples, pears, and quince, are integral components of the Rosaceae family, exhibiting a unique structure with a thick membrane surrounding tiny seeds. However, these fruits are susceptible to a multitude of insect pests that pose significant challenges to orchard productivity. This review provides an overview of key insect pests affecting pome fruits, such as maggots, codling moths, leaf miners, psyllids, aphids, and mites. The severity of infestation categorizes these pests as major or minor, with direct and indirect impacts on fruit quality and yield. Historically, pest management involved physical treatments like picking and discarding infested fruits, weed control, and post-harvest fruit treatment. Nevertheless, with advancements in science and technology, modern approaches have emerged. Integrated Pest Management (IPM) strategies, combining biological, cultural, and chemical methods, play a pivotal role in sustainable pest control. Pheromone traps, insecticides, and beneficial insects are essential components of these strategies. Over 70 insect pests and mites specifically target pome fruits, necessitating a comprehensive and dynamic management approach. Successful pest control is vital to mitigate yield loss, minimize winter damage, and protect trees from insect assaults. This abstract underscores the evolving landscape of pest management in pome fruits, emphasizing the importance of adopting innovative and environmentally friendly methods to ensure the health and productivity of orchards.