The tropical highlands, which are less affected by global warming than lower areas, offer land suitable for the cultivation of fruit trees. These fruit species are mostly native to the Andes themselves, belonging to the families Solanaceae, Passifloraceae, Mirtaceae, Rosaceae, and Ericaceae. They are cultivated in the Colombian Andes, in areas with increased solar radiation, between 1600 and 3200 m above sea level and temperatures between 11 and 24°C. For better adaptation to these conditions, fruit growers use local and native germplasm to achieve sustainable cultivation except of some introduced varieties. Good adaptation is shown by the cape gooseberry, Andean blackberry, banana passionfruit, feijoa, apple, peach, pear, and Japanese plum. In addition, other genera and species of Ericaceae stand out for their adaptation and sustainability. Studies on the adaptation and sustainability of these fruit trees have been carried out by fruit growers, technical advisors, universities, and Agrosavia, and have focused on phytosanitary control, genetic resources, and cultural management.