OBJECTIVES: To study the various gynaecological problems which commonly affect the elderly population, their frequency, predisposing factors, management protocols and outcome. METHODS: The present study was conducted prospectively including all women at and above 60 years of age who were admitted to the inpatient department of Obst. and Gynecology in Panna Dhai Zanana Hospital, Udaipur. A detailed history, physical examination laboratory investigations and treatment were recorded. The data thus collected was analyzed. RESULTS: The most common disorder was uterine prolapse, responsible for 75% of the admissions. Neoplasms were present in 19 cases. Of these 17(89.4%) were malignant and 2(10.5%) were benign.Malignancies were the second most commonly encountered disease in this study. Out of the 100 cases studied 17 (17%) were malignancies. Of these 8(47%) were ovarian malignancies, 5(29.4%) were carcinoma endometrium and 4(23.5%) were carcinoma cervix.The most common surgical procedure that was performed was VH with PFR (74%). TAH with BSO was done in 13% cases. Werthiem's hysterectomy was done in 3% cases. Laprotomy f/b debulking was done in 5% cases. Le Fort's operation was done in 1 (1%) case. CPT repair was done in the case of CPT (1%). Anterior colporraphy with PFR was done in 1(1%) case. Abdominal sacrocolpopexy was done in 1(1%) case. Subtotal hysterectomy with BSO was done 1(1%) case. CONCLUSION: By the present study it is concluded that genital prolapse and malignancies are the most common gynaecological disorders in the geriatric age group. Most of the patients coming to the hospital have been suffering for months to years from their ailments. Cases of genital cancers also underwent major surgical procedures. Due to advancements in the field of anesthesia and availability of blood or transfusion any major surgical procedure can be undertaken safely in a majority of these elderly patients. INTRODUCTION: The last chapter in the evening of life is one full of problems social, economic and physical. They are partly due to the infirmity of the old and partly to the complex culture of which they are a part. Of the total admissions made in any general hospital two age groups are most frequent, the youngest and the elderly. For the younger, pediatric clinic, wards and even hospitals are setup in our country. No such attention has been paid so far to the needs of the old persons .It was hardly recognized; much less realized that the disease, responses and treatment of the old differ materially from that of the young. The medical profession will have to adapt itself and accept the challenge of the times. In this century particularly with the curbing of child mortality, with the eradication of certain infections and with the conquest over controllable diseases, the average expectation of life has been prolonged considerably.