AbstractIn the Mediterranean Basin, the pistachio crop is considered an emerging nut crop due to the dependence of the European nut markets on international imports. Consequently, the extension and intensification of pistachio production to nontraditional growing areas has promoted both classic and emerging diseases of this nut tree, which are limiting factors in crop production. Due to the limited interest in pistachio crops, the aetiology and epidemiology of the main pistachio diseases are poorly studied. Thus, this review summarizes the state of pistachio disease research, with particular attention given to the Mediterranean area. The information reported here is based not only on the literature, but also the advancement of our research on pistachio diseases conducted in both Italy and Spain. We describe the main fungal diseases of the tree canopy in Mediterranean countries, such as Botryosphaeria panicle and shoot blight, Septoria leaf spot, and stem, branch and trunk canker diseases, followed by the main soilborne diseases. In addition, we review minor and/or sporadic fungal diseases originating in not only the Mediterranean, but also other pistachio‐producing countries. Another section is dedicated to other diseases caused by bacteria, phytoplasmas, viruses and nematodes. Finally, we summarize the main control strategies adopted in Mediterranean Basin countries against pistachio diseases.