Geriatric oncology emphasises the importance of age cut-offs for assessments, guided by current global definitions. With a rising older population, especially in India, barriers to effective assessments are identified, including time constraints and cultural differences. A multidisciplinary approach enhances collaboration amongst healthcare professionals, impacting treatment decisions and patient outcomes. Ongoing research focusses on chemotherapy risk and cognitive interventions, highlighting the need for tailored treatment plans and culturally relevant tools.