Integrated pest management (IPM) implementation efforts in India are very much in advanced stages in some of the essential crops and are in a nascent stage in some of the horticultural crops. Even though most pest management strategies still rely on the use of synthetic pesticides, a wide array of innovative and environmentally friendly tools and strategies are now available as a possible alternative to the pesticides within the modern fruit production system. Excessive use of synthetic chemicals has created the problem of pest resistance to pesticides and led to the decline of useful fauna, flora, soil health, and environmental quality. Higher dosages of pesticides lead to residual problems in harvested produce thereby affecting human health and fetching lower prices during export. As a consequence of the raising consumer concerns about health and residual issues and environmental sustainability, IPM is the best multidisciplinary approach. Therefore, we are focusing on the importance of integrated pest management strategies and tools including the use of cultural and physical practices and the use of biological agents to control the threat of insect pets in an eco-friendly approach and to reduce the dependency on chemical control and focuses in IPM as whole in fruit crops. The chapter ends by listing the major pests in different fruit crops and their eco-friendly management practices and identifying future thrust areas.