Climate change disrupts weather patterns, intensifies water scarcity and exacerbates pest and disease pressures, posing a significant threat to horticultural production systems. This scoping review explores a range of climate-smart practices to enhance adaptation and resilience within the sector. Core practices like water-efficient irrigation, heat stress mitigation strategies, and adjustments to cropping patterns for altered rainfall are investigated. Integrated pest management is presented as a cornerstone for sustainable pest control. The review further explores the potential of precision agriculture, controlled-environment agriculture, and vertical farming to optimize resource use and mitigate climate risks. Beyond technical solutions, the review emphasizes continuous research and development for breeding climate-resistant varieties, refining existing practices, and exploring novel technologies. It advocates for an integrated approach, tailoring climate smart practices to specific contexts and socioeconomic considerations. Knowledge-sharing initiatives, training programs, economically viable technologies, and supportive government policies are identified as crucial for widespread adoption, particularly among smallholder farmers. The paper concludes with a call for collaboration among researchers, extension services, policymakers, and producers. By fostering knowledge dissemination, technology transfer, and financial incentives, stakeholders can empower farmers to adapt and thrive in a changing climate. Through collective action and unwavering commitment to innovation, the horticultural sector can ensure a secure and sustainable future for food production.