The physiological changes associated with aging demand nuanced gynecologic care that goes beyond menopause management. Geriatric gynecology and aging women’s care focuses on a spectrum of issues including pelvic floor dysfunction, genitourinary syndrome, osteoporosis, and sexual health in later life. These conditions often require multidisciplinary strategies that combine medical, surgical, and rehabilitative approaches. Cognitive health, frailty, and medication interactions also influence gynecologic decisions in this population. As longevity increases globally, there’s a pressing need for personalized, age-appropriate interventions that support dignity and quality of life. Preventive care, cancer screenings, and hormonal management all require adaptation to aging physiology. Geriatric gynecology and aging women’s care underscores the importance of compassionate, comprehensive support for women as they navigate the complex terrain of aging.