Agricultural pesticides have historically been a critical tool in controlling pests and diseases, preventing widespread suffering and crop losses that led to catastrophes such as the Great Irish Famine (1845-1852) and the Cotton Boll Weevil Infestation (1915-1916). However, their usage has brought challenges, including resistance development, secondary pest outbreaks, harm to non-target organisms like pollinators, and environmental contamination. In response to these concerns, integrated pest management (IPM) has emerged as a comprehensive approach, emphasizing non-chemical pest control methods such as cultural practices, biological control, and crop rotation, with pesticides as the last resort. IPM has evolved, influenced by regulations like the Food Quality Protection Act (FQPA), which prioritizes human health protection, especially for children. The development of systemic pesticides, particularly neonicotinoids, introduced a more efficient and targeted pest control method within the IPM framework. However, they have also raised concerns due to their potential adverse effects on pollinators. In recent years, integrated pest and pollinator management (IPPM) has emerged as an enhanced approach, integrating pollinator health considerations into pest management strategies. In this article, we discuss this new approach, and briefly present an example of a modifying pesticide program in Pennsylvania apple orchards to illustrate the application of IPPM, in order to highlight the importance of IPPM in sustaining agriculture, protecting vital pollinators, and maintaining effective pest control practices. © 2024 The Author(s). Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.