Background: Sedimentation Rate (ESR) is an important diagnostic tool used for diagnosing and monitoring various disease processes. The most important method of ESR estimation is gold standard Westergren method Aims and objectives: To compared ESR values using Micro ESR Method with Westergren among Geriatric population Methodology: Hospital and laboratory-based study was conducted for a period of 12 months Blood samples from 218 Geriatric patients (>60 years of age) were collected, and ESR was done using Micro ESR methods and Westergren method which is considered a gold standard. Results: Sensitivity of Micro ESR was found to be 0.967 (95% CI = 0.964, 0.968), Specificity was 1.0 (95% CI = 1.0,1.0). The micro-ESR method had a correlation coefficient of 0.9885, with a p-value of less than 0.001. Thus, a good correlation can be seen between the ESR results of the Micro-ESR method and ESR results of the Westergren method. Conclusion: A good correlation between the ESR results of the Micro-ESR method and ESR results of the Westergren method can be seen.