Background. The increase in life expectancy makes surgery for old people a routine. In addition, a quest to develop technology and guidelines for centenarians is now emerging.
Ethical issues. Surgery cannot be refused neither because of chronological age of the patients nor on economic grounds.
Consensus. Surgeons are requested to make the right choice in the right way by pondering on health related quality of life, by obtaining the help of other professionals, and after having ascertained the integrity of the neurological conditions. Family opinions not legally relevant.