1990 Italian Open – Men's doubles

Jim Courier and Pete Sampras were the defending champions, but Sampras did not participate this year. Courier partnered Martin Davis, losing in the final

Sergio Casal and Emilio Sánchez won the title, defeating Courier and Davis 7–6, 7–5 in the final.

Seeds
• # 🇺🇸 Rick Leach / 🇺🇸 Jim Pugh (first round)

• # 🇺🇸 Jim Grabb / 🇺🇸 Patrick McEnroe (first round)

• # 🇲🇽 Jorge Lozano / 🇺🇸 Todd Witsken (quarterfinals)

• # 🇫🇷 Guy Forget / Jakob Hlasek (first round)

• # 🇪🇸 Sergio Casal / 🇪🇸 Emilio Sánchez (champions)

• # Petr Korda /  Tomáš Šmíd (first round)

• # Michael Mortensen /  Tom Nijssen (first round)

• # 🇺🇸 Patrick Galbraith / 🇦🇺 David Macpherson (first round)