Agriculture is a major economic sector and a critical source of livelihood in many of the low and middle income countries in Asia and the Pacific region. However, this sector is subject to a very wide range of risks related to natural hazards, climate change and variability, pest and diseases. This study review literatures that focus on disaster risks and disaster-related loss and damage in agriculture sector in Asia and the pacific region. The study also highlights the current patterns of agricultural insurance provision in the region. Literatures were identified for review from various sources such as journals, reports, proceedings and other related documents by searching comprehensively both electronic and non-electronic databases. Evidences suggest that agriculture is among the most vulnerable sectors to the natural disaster and climate related risks in Asia and the Pacific region. It is particularly exposed to floods, droughts, hurricanes, cyclones, typhoons, landslides and seasonal epidemics. However, the amount of losses and damages occurred in agriculture sector varies across the countries. It was reported that agricultural insurance was available either in a pilot form or a fully mature national-level program in 20 of the 44 countries (45% of the total) in the region in 2010. There are only 3 countries in the region, namely Australia, China and New Zealand which provide a wide range of agricultural insurance products viz, crop, greenhouse, forestry, livestock, poultry and aquaculture insurance. The most popular insurance product in the region is livestock insurance (available in 15 countries), followed by crop insurance (available in 14 countries). Therefore, further research is urgently needed to assess more accurately the losses and damages in agriculture sector in the region and to help policy makers promote sound agricultural insurance programs.