Geriatric anesthesia is concerned with the management of elderly patients with comorbidities coming in for surgery. Its strategies involve judicious drug choice, hemodynamic monitoring, and multimodal analgesia to minimize complications. Teamwork between surgeons, anesthesiologists, and geriatric teams provides safe perioperative care. Advances in monitoring, anesthesia methods, and recovery techniques enhance outcomes, minimize morbidity, and maximize functional recovery.