In perennial fruit crops, bearing can be influenced by various factors, including environmental conditions, germplasm, rootstocks, and cultivation methods. Cherries, one of the most important and popular fruit species from the temperate climate zone, achieve high prices on the market. New agricultural technologies and environmental factors force a change in the approach to cherry cultivation. Old-type cherry orchards with their high demand for water, nutrients and manual work are replaced by orchards of self-pollinating cherry cultivars grown on dwarf rootstocks. These changes make it necessary to search for ways to regulate fruiting, in particular to thin buds, flower and fruit. In view of environmental regulations and consumer pressure, thinning methods are being sought that either do not involve the use of chemicals or that use eco-friendly chemical agents. This review examines recent progress in understanding the effect of thinning methods on the physiology, tree growth and fruit quality of cherries, discusses horticultural practices aimed to ensure regular cropping and their influence on fruit quality, and provides suggestions for future research.