The aging population poses significant challenges in surgical care, necessitating a shift toward holistic, patient-centric approaches. Singapore, with its high life expectancy, exemplifies this demographic trend, where many older individuals face prolonged periods of disability or illness. This chapter underscores the importance of adopting a rational and contextualized approach to surgery in older patients by integrating medical, psychological, and social factors. Emphasizing the transition from a disease-focused biomedical model to a biopsychosocial framework, it advocates for person-centered care that values caregivers as integral stakeholders in the patient’s ecosystem.