Aging is a complex process that involves changes in sensory perception, cognition, and physical strength. Physiologic, metabolic, and emotional changes of the aging process can lead to behavioral problems in older pets. Treatment of behavior problems in older pets requires a multimodal therapeutic approach. Frequent follow-up visits are required to monitor pets and comment on prognosis. Clients should be informed of the prognosis and should be educated to evaluate pain, discomfort, and general quality of life of the aging pet.