Medically significant indoor/ectoparasitic insect populations, including bed bugs and head lice, have developed considerable resistance to insecticides due to limited introduction of new genetic traits and the absence of an overwintering barrier. In contrast, outdoor pests like Anopheles and Culex mosquitoes exhibit fluctuating resistance patterns, likely influenced by factors such as overwintering barriers and relatively wider open habitats. Mosquitoes also face selection pressure from diverse sources beyond public health insecticides unlike bed bugs or head lice. Understanding different factors driving resistance among pests is essential for effective resistance management.