Elderly patients requiring surgery for injuries or other medical conditions are at higher risk of peri-operative morbidity and mortality due to physiologic and pathologic changes that occur with age. Geriatric anesthesia is a subspecialty of medical science focuses on anaesthetic care of elderly patients in terms of pre-operative, peri-operative, post-operative anaesthesia care and highlights the role of the interprofessional team in managing these patients while undergoing anaesthesia and post-anaesthetic care. Objectives: • Describe in brief the aging phenomenon • Age dependent physiologic & pathophysiologic changes and anesthetic implications. • Anaesthetic techniques & intra-operative & postoperative management. • To summarize common geriatric complications and their management.