Okra (Abelmoschus esculentus) is an important agricultural crop of the Malvaceae family, cultivated across tropical, subtropical, and warm temperate regions. However, okra production faces numerous challenges from diverse pest species, including insects, nematodes, arachnids, and mites, that significantly reduce its yield. Major economic pests include the cotton aphid, cotton spotted bollworm, Egyptian bollworm, cotton mealybug, whitefly, cotton leafhopper, cotton bollworm, two-spotted spider mite, root-knot nematode, reniform nematode, cotton leaf roller, and flea beetle. Additionally, less prevalent pests such as the blister beetle, okra stem fly, red cotton bug, cotton seed bug, cotton looper, onion thrips, green plant bug, and lesion nematode are also described. This review also addresses fungal and oomycete diseases that present high risks to okra production, including damping-off, powdery mildew, Cercospora leaf spot, gray mold, Alternaria leaf spot and pod rot, Phyllosticta leaf spot, Fusarium wilt, Verticillium wilt, collar rot, stem canker, anthracnose, and fruit rot. In addition to these fungal diseases, okra is also severely affected by several viral diseases, with the most important being okra yellow vein mosaic disease, okra enation leaf curl disease, and okra mosaic disease, which can cause significant yield losses. Moreover, okra may also suffer from bacterial diseases, with bacterial leaf spot and blight, caused primarily by Pseudomonas syringae, being the most significant. This manuscript synthesizes the current knowledge on these pests. It outlines various management techniques and strategies to expand the knowledge base of farmers and researchers, highlighting the key role of integrated pest management (IPM).