The combination of 1-MCP and hexanal affected decay similar to 1-MCP. However, hexanal in combination with 1-MCP negated the effect of 30 nL L−1 1-MCP on firmness but did not counteract the effect of 300 nL L−1 1-MCP. Thus, a combination of 1-MCP and hexanal at optimized rates may reduce storage decay, control superficial scald, and allow normal ripening of d’Anjou pear fruit.