Varroa mite (Varroa destructor Anderson and Trueman) infestation of European honey bee (Apis mellifera L.) colonies has been a growing cause of international concern among beekeepers throughout the last 50 yr. Varroa destructor spread from the Asian honey bee (Apis cerana Fabricius [Hymenoptera: Apidae]) to A. mellifera populations in Europe in the 1970s, and subsequently traveled to the Americas. In addition to causing damage through feeding upon lipids of larval and adult bees, V. destructor also facilitates the spread of several viruses, with deformed wing virus being most prevalent. Several sampling methods have been developed for estimating infestation levels of A. mellifera colonies, and acaricide treatments have been implemented. However, overuse of synthetic acaricides in the past has led to widespread acaricide resistant V. destructor populations. The application of Integrated Pest Management (IPM) techniques is a more recent development in V. destructor control and is suggested to be more effective than only using pesticides, thereby posing fewer threats to A. mellifera colonies. When using IPM methods, informed management decisions are made based upon sampling, and cultural and mechanical controls are implemented prior to use of acaricide treatments. If acaricides are deemed necessary, they are rotated based on their mode of action, thus avoiding V. destructor resistance development.