Pasta hasn’t had a hard time getting accepted at in in my opinion. When I was in Lahore about 10 years ago, we ate at an Italian restaurant where pasta was being served. And Pizza Hut, which is popular in Pak, is now serving pasta dishes.
And, even in the smaller, less developed cities of Pak…people cook Maggi/Ramen instant noodles (which are pasta) and add their desi flavors to it.