The management of curative UGIC is often challenging, complex, usually aggressive and invasive, in the form of a multimodal therapy including chemotherapy, radiotherapy and surgery. Older persons’ ability to withstand the rigors of multimodal therapy can be similarly challenging and risky due to their limited physiological reserves, cognitive and functional decline, frailty and malnutrition. Multimodal interventional efforts are being made in every step of our modern older persons’ journey from the start of UGIC diagnosis to returning to the community after treatment with ongoing support. The incorporation of transdisciplinary or multidisciplinary team with geriatric care aims to optimize and improve the surgical outcomes. Strategies to promote better outcomes include GA, prehabilitation (medical optimisation, physical exercise, nutritional support and psychological support), MIS, ERAS and rehabilitation. Initial non-operative management of UGIC crisis should be considered if appropriate, allowing opportunity for prehabilitation. The management of palliative intent UGIC is never simple and should focus on the older persons’ preferences and wishes during the end-of-life journey. UGIC biology is the King and case selection is the Queen, and perhaps the perioperative manoeuvres of Prince and Princess can increasingly match the powerful forces of the King and Queen.