In order to promote increases in the size of 'Kosui' Japanese pear [Pyrus pyrifolia (Burm.) Nakai] fruit by plant growth regulators, we applied gibberellin (GA) 3+4 paste [2.7% (w/w), A 3 :A 4 = 90:10] in combination with prohexadione-calcium [1%, PCa; BAS-125 (3-oxido-4-propionyl-5-oxo-3-cyclohexene-carboxylate)], an inhibitor of GA 2β-hydroxylation that catabolizes active GA into an inactive form, to fruit pedicels at approximately 30 days after full bloom. GA 3+4 +PCa treatment advanced fruit growth only in the early stages, but fruit weight did not show any significant differences between the untreated control and GA 3+4 +PCa-treated fruits at harvest. In contrast, when GA 4+7 [2.7% (w/w), A 4 :A 7 = 66:34] was applied, the fruit weight at harvest was greater than that of untreated fruit. Moreover, GA 4+7 treatment in combination with PCa resulted in an even higher fruit weight at harvest. The GA 4 concentration in fruit flesh was not affected by GA 3+4 application at 1 week after the treatment (WAT) either with or without PCa, but GA 4 levels increased with GA 4+7 +PCa treatment, resulting in a significant increase in fruit weight at harvest. A single GA 4+7 application almost doubled the GA 4 concentration compared with the untreated control, but the difference was not significant. These results indicate that fruit weight at harvest was greater when the GA 4 concentration was higher in the fruit flesh at 1 WAT. The higher concentration of GA 4 in the GA 4+7 +PCa-treated fruit compared with the GA 4+7 treatment alone may be attributed to the function of PCa that acts to prevent the inactivation of GA 4 to GA 34 by inhibiting 2β-hydroxylation.