Introduction- Women have unique health concerns and are affected by number of health issues as compared to men of same age. Geriatric gynaecological problems have not received adequate attention in India. The present study was conducted at a tertiary care centre to assess the incidence of various diseases and their follow up for 6 months along with medical and surgical management among female geriatric patients visiting OPD of gynaecology and surgery department. Material and methods- The present prospective study was conducted at department of gynaecology of a tertiary care centre during the study period of one year (2023-24) among 450 elderly women with age above 60 years. Complete demographic and medical history was taken and results were obtained with the help of SPSS version 25.0. Results- Maximum patients were in the age group of 60-65 years (55.5%) and least were in the age group of greater than 75 years (11.1%). The predominant presenting complaint was postmenopausal bleeding in 44.4%, succeeded by pain and abdominal distention in 41.1%. The most common gynaecological disorders found in patients were Pelvic organ prolapsed 112 (24.8%) and genital malignancies 135 (30%). Most common type of surgery performed among gynaecological disorder patients were VH with PFR 108 (24%), TAH with BSO99 (22%), Pyometra drainage 45 (10%), Fractional curettage 91 (20.3%) and Cervical biopsy 22 (4.8%).The surgical disorders diagnosed in patients were benign breast mass 13 (2.8%), Ductal papilloma7 (1.5%), Carcinoma of breast45 (10%), Stress incontinence 15 (3.3%), Urge incontinence 12 (2.6%), Post operative fistula10 (2.2%), Urethral strictures3 (0.6%) and Intestinal problems 11 (2.4%). Type of surgery performed in surgical disorders were Lumpectomy 12 (2.6%), Partial mastectomy 8 (1.7%), Segmental mastectomy 20 (4.4%), Mastectomy with reconstruction 25 (5.5%), Uterine drainage 40 (8.8%), Intestinal resection with primary anastomosis6 (1.3%) and Laparoscopy 5 (1.1%). 338 (75.1%) got completely recovered and no chance of reappearance of symptoms was found. Conclusion- Hospitalizations in those over 60 are mostly due to genital cancer, pelvic organ prolapsed and urinary problems. Postmenopause is a crucial time for women. Aging makes the geriatric phase more important. Aging affects tissue milieu, making therapy difficult. Thus, all gynecologists should treat women throughout their reproductive lives. Cervical cancer is common in our area, making postmenopausal screening programs essential.