Similarly, it is imperative for the anaesthesiologists to decide after careful deliberations relating to various issues and factors, as to which anaesthetic, i.e. general anaesthesia (GA) or regional anaesthesia (RA) suffices for the particular aged patient that is in tandem with good overall outcome along with basic element of safety. Surgical intervention in an elderly surgical patient is not devoid of risk, although overall mortality has considerably decreased. Seemingly, chronological age, anaesthesia technique, and risk modulating methods, have now ceased to be an independent risk factor in elderly patients. More importantly, optimization of co-existing diseases, elective scheduling of surgery (as opposed to emergency), improving preoperative nutritional status, meticulous intraoperative haemodynamic and temperature control, and structured postoperative rehabilitation plan may be helpful in ensuring high quality anaesthesia care to elderly patients with a tendency towards reduced morbidity and mortality along with inherent safety.