Potato crop is the fourth main food crop in the world and it will certainly feed a big part of the global population in the next years. The economical outlets for this crop are great; however, numerous diseases either soil-or airborne can cause huge losses in the production. Worldwide, about 40 soil-borne diseases affect potato and cause severe damages especially on tubers, the economically most important part of the plant. The occurrence and development of soilborne diseases depend on very diverse factors affecting either the pathogen or the plant. Favorable conditions for potato diseases development are frequently the same as the conditions needed for potato growth: temperature between 10°C and 25°C, high humidity, medium pH, etc. Adapted cultural practices such as a rotation longer than 4 years, appropriate fertilization and water management, an adapted delay between haulm killing and harvest, and dry and cool conditions for tuber storage are good ways to control potato diseases. In most cases, potato pathogens develop specific survival forms, dissemination ways and host penetration methods. The genetic variability of the pathogens implies the use of adapted diagnostic and control methods. Decision support systems developed to predict yield losses allow choosing good control methods such as the use of healthy seeds, adapted pesticides, cultural practices, and biological control agents for each potato disease. The complexity of the interactions between a pathogen and its host, influenced by biotic and abiotic factors of the environment, make the control of the diseases often very difficult. However, deep knowledge of pathosystems allows setting up integrated pest management systems allowing the production of healthy and good quality potatoes.