The tomato leaf miner, Tuta absoluta, poses a significant threat to tomato cultivation globally, with a notable impact on yields. This study investigates the perceptions and practices of farmers in Pokhara, Nepal, regarding T. absoluta management. We aimed to assess the current adoption of management strategies, identify influencing factors, and uncover knowledge gaps among farmers. We surveyed 69 randomly selected households involved in tomato cultivation using a semi-structured questionnaire. The survey collected data on observations of T. absoluta damage, management practices (chemical, physical, pheromone-based), and awareness of integrated pest management (IPM) and ecosystem services. Our findings reveal that 94% of farmers observed T. absoluta damage in their fields, with a predominant reliance on chemical pesticides (86.96%). Awareness and adoption of environmentally friendly practices, such as IPM, were notably lacking. Factors such as the age of the household head, crop rotation, cropping systems, and family type significantly influenced the adoption of various management practices. While 44.93% of farmers used pheromones, 31% recognized them as effective. This study highlights the severe threat T. absoluta poses to tomato cultivation in Pokhara and the insufficiency of current management practices. Bridging knowledge gaps regarding eco-friendly approaches, such as pheromones and biological controls, is crucial. We emphasize the need to tailor extension services by considering sociodemographic factors and promoting awareness of ecosystem services. Ultimately, our study will contribute to more sustainable pest management practices in agricultural settings.