Spectral measurements are employed in many precision agriculture applications, due to their ability to monitor the vegetation’s health state. Spectral vegetation indices are one of the main techniques currently used in remote sensing activities, since they are related to biophysical and biochemical crop variables. Moreover, they have been evaluated in some studies as potentially beneficial for detecting or differentiating crop diseases. Flavescence Dorée (FD) is an infectious, incurable disease of the grapevine that can produce severe yield losses and, hence, compromise the stability of the vineyards. The aim of this study was to develop specific spectral disease indices (SDIs) for the detection of FD disease in grapevines. Spectral signatures of healthy and diseased grapevine leaves were measured with a non-imaging spectro-radiometer at two infection severity levels. The most discriminating wavelengths were selected by a genetic algorithm (GA) feature selection tool, the Spectral Disease Indices (SDIs) are designed by exhaustively testing all possible combinations of wavelengths chosen. The best weighted combination of a single wavelength and a normalized difference is chosen to create the index. The SDIs are tested for their ability to differentiate healthy from diseased vine leaves and they are compared to some common set of Spectral Vegetation Indices (SVIs). It was demonstrated that using vegetation indices was, in general, better than using complete spectral data and that SDIs specifically designed for FD performed better than traditional SVIs in most of cases. The precision of the classification is higher than 90%. This study demonstrates that SDIs have the potential to improve disease detection, identification and monitoring in precision agriculture applications.