Aim: This study aimed to assess gynecological disorders among geriatric women.Methods: A prospective, observational, cross-sectional study was conducted in the Department of Obstetrics and Gynaecology for period June 2022 to June 2023, including 100 women aged >65 years. Ethical clearance was obtained, and informed consent was taken.Results: Of the 100 participants, 80% were aged 65-74 years, 65% were from rural areas, and only 20% were literate. The mean age at menopause was 49.11±4.40 years, with a mean duration of 21.14±5.85 years. The most common presenting complaints were postmenopausal bleeding (35%) and something coming out of the vagina (22%). Hypertension was the most frequent comorbidity. Genital tract malignancies (34%) were the most common gynecological disorders, followed by pelvic organ prolapse (25%) and urogenital infections (16%). Cervical cancer was the most prevalent malignancy (32 cases), often diagnosed at an advanced stage.Conclusion: Postmenopausal bleeding is the most common presenting complaint in geriatric women. Pelvic organ prolapse and genital malignancies are major causes of hospital admissions, with ovarian and endometrial cancers showing a rising trend. Early detection and improved healthcare access are crucial for better outcomes.