Background and Aim: Aging is inevitable. The elderly patients have more underlying comorbidities, poor physical condition, and higher operative risk (1-3). It is commonly observed that the outcome of the patients is largely determined by the severity of the initial aSAH and subsequent complications associated with neurologic deficit.The aim of this study isto study the varied clinical picture, radiological and operative findings of patients with symptomatic, angiographically proven intracranial aneurysm in elderly population. Materials And Methods: The present hospital based prospective analytical study was conducted from August 2021 To September 2022 among patients who were diagnosed to have intracranial aneurysm on ctangiograpy brain, and underwent surgery for the same. Results:Hunt and Hess and the WFNS grading are still the most common grading system used to classify the patients of intracranial aneurysmal bleed with SAH.ACOM aneurysm is the most common location of intracranial aneurysm. Size of intracranial aneurysm, as well as intraoperative rupture has no affect on post-operative outcome. Period of temporary clipping and post-operative vasospasm affects post-operative outcome. Conclusion: The process of ageing presents unique considerations and challenges, and management is currently individualized, requiring precise knowledge of natural history that must be weighed against an individual’s comorbidities, life expectancy, treatment related risks and likelihood of treatment success.To improve outcomes in elderly patients, co-management by specialized neurointensivists who can handle patients with multiple conditions should be considered. The total treatment should be a holistic approach.