1991 Italian Open – Men's doubles

Sergio Casal and Emilio Sánchez were the defending champions, but lost to Omar Camporese and Goran Ivanišević in the quarterfinals. Camporese and Ivanisevic went on to win the title, defeating Luke Jensen and Laurie Warder in the finals, 6–2, 6–3.

Seeds
• # 🇪🇸 Sergio Casal / 🇪🇸 Emilio Sánchez (quarterfinals)

• # 🇩🇪 Udo Riglewski / 🇩🇪 Michael Stich (first round)

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

• # 🇦🇺 Mark Woodforde / 🇦🇺 Todd Woodbridge (first round)

• # Wayne Ferreira / Danie Visser (first round)

• # Paul Haarhuis /  Mark Koevermans (first round)

• # 🇺🇸 Luke Jensen / 🇦🇺 Laurie Warder (finals)

• # 🇬🇧 Jeremy Bates / 🇬🇧 Nick Brown (first round)