Based on the occurrence and damage of the main rice diseases and insect pests, the comprehensive control technologies, including agricultural, biological, physical and chemical prevention and control were discussed. The primary diseases included rice blast (which infected leaves, nodes, and panicles), sheath blight (which infected basal leaf sheaths), and false smut (a panicle disease). The major pests included rice planthopper (which sucked sap), the rice leaf roller (which damaged leaves by rolling), and rice stem borers (which bored into stems). The integrated control was centered on the ecosystem and combined agricultural, biological, physical, and chemical technologies. Agricultural control involved selecting resistant varieties and implementing scientific field management; biological control generally utilized natural enemies and integrated crop-aquaculture systems; physical control often employed measures such as trapping and barrier methods; chemical control was focused on reducing application quantities and increasing efficiency by selecting low-toxicity agents. By comprehensively applying these control technologies, precise prediction and green management were achieved, which protected rice yield and quality and promoted sustainable agricultural development.