Postharvest fungal diseases represent a major constraint to the storage, transport, and marketability of peach (Prunus persica) fruits. Pathogens such as Monilinia spp. (Brown rot), Penicillium expansum (Blue rot), Rhizopus stolonifera (Soft rot), Botrytis cinerea (Gray rot), and Geotrichum candidum (Acid rot) cause significant economic losses globally. Traditional control methods primarily rely on chemical fungicides, which are increasingly challenged by issues of resistance development, consumer health concerns, and regulatory restrictions. This review critically synthesizes the biology, infection mechanisms, and optimal environmental conditions of key fungal pathogens affecting postharvest peaches. It further evaluates the current landscape of chemical, physical, and biological control methods, emphasizing novel approaches including essential oils, microbial antagonists, induced resistance, and eco-friendly sanitizers. Comparative efficacy, sustainability, and practical implementation of these strategies are discussed. Integrated management approaches that combine multiple interventions under low-residue or residue-free systems are highlighted as the most promising direction. This review concludes that the future of peach postharvest protection lies in tailor-made, multi-faceted integrated programs that are both effective and environmentally sound.