The prevalence of cancer rises with advancing age, and pain is a common com
plaint of those with cancer. The elderly, especially those older than 85, a
ve at risk for undertreatment of pain. Despite multiple barriers, assessmen
t difficulties, and an increased risk of side effects with opioids, cancer
pain can be effectively managed in this population. The quality of life of
elderly patients with cancer depends on good symptom management, the approp
riate use of analgesics, and prevention of opioid-related side effects.