Age is often a marker for comorbid illnesses that may complicate attem
pts at surgical intervention. Careful selection is important in decidi
ng to recommend surgery for geriatric patients, but selected elderly p
atients may even benefit from major surgery. Ancillary services, such
as nutrition, nursing, and physical therapy, are particularly importan
t components in the postoperative care of geriatric patients. Case ser
ies have shown the ability of geriatric patients to recover from major
surgical procedures, including cardiac surgery, neurosurgery, and onc
ologic surgery. In general, advanced age is not a contraindication to
surgery but it reinforces the need for careful preoperative evaluation
and vigorous postoperative support of the patient.