Apple and peach orchards are chemicalintensive systems, and aphids are one of their major pests. Aphids alter fruiting and shoot development, and they can spread viruses. Decades of insecticide use have developed aphid resistance, which calls on research to provide alternatives to chemicals for pest management. Here, we review the literature to identify, for each stage of the aphid life cycle, existing alternatives based on either top-down (i.e. aphid predation or parasitism) or bottom up (i.e. increase of host plant resistance) processes. Firstly, it was found that most studies focus on topdown processes, namely on conservation biological control aiming to preserve existing populations of natural enemies: predators, parasitoids and nematodes. This is achieved by (i) providing shelters (i.e. planting hedges, weed or flower strips) or alternative preys in periods of aphid scarcity or (ii) choosing chemicals with the lowest disruptive effects. Those methods prove more efficient when used early in the season, i.e. before the exponential increase of aphid populations. Fostering the complex of natural enemies is also preferable than just supporting one single enemy. Secondly, other techniques, like (i) releasing biological control agents (entomopathogenic fungi, nematodes) or (ii) using pheromone lures to prevent autumnal sexual reproduction, are currently adapted for their use in orchard conditions. Thirdly, bottom-up regulation has to be devised as a long-term strategy, which could start by choosing a cultivar enabling genetic avoidance or developing genetic resistance. Then, aphid development can be reduced by the control of shoot growth or nitrogen accumulation in response to pruning or moderate water and nutrient inputs. At last, autumnal return of aphids could be disrupted by techniques such as kaolin applications that impair aphid host plant location. It is concluded that these alternative methods have to be adapted to local conditions and combined in long-term strategies in order to decrease the infestation risks throughout the orchard lifespan.