Prepare the ingredients: measure out the almond flour, powdered sugar, and egg whites.
In a bowl, combine the almond flour and powdered sugar. Sift the mixture to remove any lumps.
In a mixing bowl, begin whipping the egg whites until foamy. Gradually add the granulated sugar. Continue whipping until stiff peaks form and the meringue is glossy.
Gently fold the almond flour and powdered sugar mixture into the meringue. Be careful not to overmix, as this will deflate the meringue.
Transfer the batter to a piping bag and pipe even circles onto a baking sheet lined with parchment paper.
Let the macarons rest at room temperature for 30-60 minutes, allowing a thin skin to form on the surface.
Preheat the oven to 300°F (150°C) (convection), then bake the macarons for 12-15 minutes. The bottoms should easily release from the parchment paper.
For the pear filling, peel and purée the fresh pear. Melt the white chocolate over a double boiler, then stir in the butter, heavy cream, and pear purée.
Mix the pear and white chocolate ganache until smooth, then let it cool completely.
Fill the cooled macarons with the pear ganache, then top with another macaron shell.
Let the assembled macarons rest for one to two hours to allow the flavors to meld.
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