The term geriatric giants is a term coined by geriatrician Bernard Isaacs. This expression refers to the principal chronic disabilities of the aging that impact their physical, mental, and social domains. Many of these conditions, often misperceived to be an inescapable part of old age, can in fact be improved. There actually are many more than 5 geriatric giants but the main ones include: Dementia is a condition characterized by increasing neurocognitive decline of adequate magnitude to interfere with normal social or occupational functions, or with usual daily activities. It is a wide-ranging diagnostic term that includes Alzheimer’s, frontotemporal dementia, vascular dementia, Parkinson’s disease plus many more. Incontinence is the uncontrolled loss of urine in sufficient amount or frequency to institute a social or health problem. Although there are aging-associated changes in the bladder and the urinary tract which make the elderly person more prone to urinary incontinence, the problem is not and should not be reflected as a normal part of aging. Falls and dizziness are common in the elderly. About 30% of adults over 65 years old living in the community will have a fall each year. This increases to 40% in those 85 years and older. In the long term, falls result in increased disability, depression, loss of independence, functional decline, reduced quality of life, fears of falling, and social isolation. Frailty is the clinical presentation of collective biologic changes with aging which result in decreased ability to maintain equilibrium. Pain intensifies in incidence and occurrence after age 60. This is because of the growing burden of aging-associated illnesses such as osteoarthritis, diabetic neuropathy, compression fractures, and cancer. It is underreported by the elderly.