Naranjilla (lulo) is an Andean fruit that is very attractive for consumption due to its acid flavor and aroma, as well as its antioxidant, mineral, carbohydrate, and protein content. However, several aspects of the fruit´s pre-harvest and ripening postharvest are unknown, which results in deficiencies during the postharvest handling and conservation. The aim of this review was to present and describe the naranjilla fruit´'s main physiological changes, such as respiration pattern, ethylene production, firmness reduction, and pigment variation, as well as the main preservation technologies implemented during the postharvest period. Naranjilla fruit has been cataloged as a climacteric fruit but its respiratory rate is lower than other fruits in this group. During ripening, there are changes such as a color evolution from green to yellow hue for the pulp and peel, an increase in the concentration of soluble sugars, ascorbic acid, and ethylene production, as well as a reduction in firmness and acidity. Given the nature of its ripening, naranjilla is considered a perishable fruit. To preserve the fruits throughout the postharvest period, different technologies involving cooling, packaging in modified atmospheres (MAP), use of 1-methylciclopropene (1-MCP), UV-C and gamma radiation, and ozone application have been evaluated. From these technologies, refrigeration and MAP are the most often used commercially; they are efficient and relatively economical. More research is required to optimize the use of these technologies for naranjilla preservation.