This chapter extensively explores the implications of the ageing landscape in the metropolis of India. It delves into critical aspects such as living arrangements, elderly care, and the intricate challenges surrounding elder abuse. The repercussions of elder abuse are profound, manifesting in increased healthcare costs and diminished quality of life for the elderly. It is highlighted that elder abuse transcends demographic boundaries, affecting individuals of varying ages, genders, religions, regions, and social classes. The significance of the elder abuse issue is underscored by the increasingly formalized social control mechanisms in metropolis cities, coupled with unique challenges faced by caregivers and limitations in community spaces for the ageing population. To counteract elder abuse, the chapter proposes strategic measures including the sensitization of younger generations, fostering economic independence for elders, and enhancing reporting systems. Advocating for fortified legal enforcement systems and heightened awareness among elders regarding available redressal mechanisms, the chapter emphasizes the need for targeted intervention. Recognizing the prevailing lack of social support for victims and their hesitancy to report abuse, the chapter underscores the urgency for comprehensive interventions to address this pervasive concern in metropolis in India.