How might I convert a double to the nearest integer value?

double d = 1.234;
int i = Convert.ToInt32(d);

Reference

Handles rounding like so:

rounded to the nearest 32-bit signed integer. If value is halfway between two whole numbers, the even number is returned; that is, 4.5 is converted to 4, and 5.5 is converted to 6.

Use Math.round(), possibly in conjunction with MidpointRounding.AwayFromZero

eg:

Math.Round(1.2) ==> 1
Math.Round(1.5) ==> 2
Math.Round(2.5) ==> 2
Math.Round(2.5, MidpointRounding.AwayFromZero) ==> 3

double d;
int rounded = (int)Math.Round(d);

For Unity, use Mathf.RoundToInt.

using UnityEngine;

public class ExampleScript : MonoBehaviour
{
    void Start()
    {
        // Prints 10
        Debug.Log(Mathf.RoundToInt(10.0f));
        // Prints 10
        Debug.Log(Mathf.RoundToInt(10.2f));
        // Prints 11
        Debug.Log(Mathf.RoundToInt(10.7f));
        // Prints 10
        Debug.Log(Mathf.RoundToInt(10.5f));
        // Prints 12
        Debug.Log(Mathf.RoundToInt(11.5f));

        // Prints -10
        Debug.Log(Mathf.RoundToInt(-10.0f));
        // Prints -10
        Debug.Log(Mathf.RoundToInt(-10.2f));
        // Prints -11
        Debug.Log(Mathf.RoundToInt(-10.7f));
        // Prints -10
        Debug.Log(Mathf.RoundToInt(-10.5f));
        // Prints -12
        Debug.Log(Mathf.RoundToInt(-11.5f));
    }
}

Source

public static int RoundToInt(float f) { return (int)Math.Round(f); }

Methods in other answers throw OverflowException if the float value is outside the Int range. https://docs.microsoft.com/en-us/dotnet/api/system.convert.toint32?view=netframework-4.8#System_Convert_ToInt32_System_Single_

int result = 0;
try {
    result = Convert.ToInt32(value);
}
catch (OverflowException) {
    if (value > 0) result = int.MaxValue;
    else result = int.Minvalue;
}