Ethylene-mediated premature floral senescence influences the postharvest quality and longevity of rose flowers. In recent years, studies have unveiled the action of ethylene during the development and senescence of rose flowers. However, despite the evidence that ethylene is highly produced in ethylene-sensitive roses, there is not always a direct interrelationship between ethylene sensitivity and rose flower longevity. In addition, ethylene sensitivity and ethylene-related gene expressions in roses are still not clearly understood. In this review, we summarized and discussed ethylene synthesis and sensitivity, role of ethylene-related genes, and impacts of ethylene on the postharvest quality of cut roses. By combining the mechanism of ethylene biosynthesis and signaling with ethylene sensitivity, we also highlighted the potential use of ethylene inhibitors for ethylene control and to improve the postharvest quality of cut rose flowers. We believe that this review will provide sufficient information about ethylene biology in rose flowers and contribute in developing effective methods to extend the postharvest life of roses by preventing ethylene damage.