Pelvic floor disorders including urinary incontinence, fecal incontinence, and pelvic organ prolapse are conditions that are increasingly seen by gynecologists as women age. Nearly half of women over the age 80 have one or more pelvic floor symptoms and 1 in 5 of these women over the age 80 will have undergone at least one surgical procedure for prolapse or urinary incontinence. With a projected 9% increase in the proportion of the US population over the age 65 by the year 2060, there will be a parallel increase in the number of older women seeking care for these conditions. Treatments for these diagnoses involve both conservative and surgical approaches that are individualized based on the patient’s functional status and desires. Urogynecologists, sometimes along with an interdisciplinary team of urologists, behavioral therapists, gastroenterologists, and colorectal surgeons, may help to optimize outcomes. Evidence-based treatment approaches for these disorders result in significant improvement in quality of life.