As per the Genoese recipe, pesto is made of basil leaves, crushed garlic, pine nuts, grated hard cheese, salt, and olive oil. Traditionally, this sauce is prepared by grinding these ingredients in a marble mortar with a wooden pestle. The name 'pesto' is derived from the Italian (Genoese, to be precise) word, pestâ, which means to pound or crush. Even the English word 'pestle' is said to be derived from this Italian word.