Purpose of Review <p>This review aims to synthesize current evidence on the treatment of skin cancer in older adults, focusing on cutaneous melanoma, basal cell carcinoma, and cutaneous squamous cell carcinoma. It emphasizes the need for age-sensitive, individualized care that balances oncologic efficacy with patients’ functional status, comorbidities, and goals of care.</p> Recent Findings <p>Recent studies highlight that while standard treatments such as surgery, radiotherapy, immune checkpoint inhibitors, and targeted therapies remain effective in older adults, their application must consider increased toxicity risks, delayed wound healing, and multifaceted cognitive, social, and financial circumstances.</p> Summary <p>The review underscores that effective skin cancer treatment in the elderly must integrate geriatric assessments, shared decision-making, and a focus on quality of life. Personalized approaches are essential to prevent overtreatment and support outcomes aligned with patient values, informing future research in geriatric dermatology.</p>