The process of aging results in physiological decline, disabilities, and a decreased reserve capacity of the body, with the elderly being the demographic that is growing the fastest. They need more comprehensive perioperative care and have a heightened risk of postoperative complications, which may result in long-term health deterioration, reduced functional ability, and diminished quality of life. Changes in health due to aging, along with comorbidities and declines in physical and cognitive functions, make elderly patients more vulnerable to both cardiac and non-cardiac issues before and after surgery, as well as contributing to lengthier hospital stays. Risks associated with surgery, such as delirium, respiratory issues, cardiac incidents, and increased morbidity, can result in longer hospitalizations, greater mortality rates, and a decline in physical fitness, memory, functionality, and overall quality of life.