BACKGROUND Ageing is a complex process that is due to accumulation of molecular damage over time. Ageing is a biological reality which has its own dynamics beyond human control. People aged 60+ years are generally referred to as older population. Both intrinsic ageing (genetic, chronological ageing) and extrinsic ageing (environmental, photo-ageing) contribute to cutaneous ageing. Common skin disorders in elderly are xerosis, pruritus, dermatoheliosis, seborrheic keratosis, cherry angioma, herpes zoster, dermatophytosis, cellulitis and eczemas. With this background, I propose this study to determine the pattern of cutaneous manifestations in geriatric population attending tertiary care centre. The aim is to study the pattern of skin diseases in geriatric age. MATERIALS AND METHODS Three hundred patients above 60 years of age attending Dermatology OPD in tertiary care hospital, Puducherry were chosen as study group. The study was carried out for 2 years. A detailed history was taken and general, systemic and cutaneous examination was carried out. All cutaneous and mucosal lesions were recorded. Relevant investigations, which included haemogram, biochemical tests and skin biopsy were performed. RESULTS Total of 300 patients studied of which 197 (66%) were male and 103 (34%) were female. Pruritus (44%) was the commonest complaint noted in this study. Xerosis (93%) was the commonest physiological change seen. Systemic hypertension (23%) was the commonest associated systemic illness. Lichen simplex chronicus (11%) was the commonest eczema. Fungal infection (11%) was the commonest infection. Bullous pemphigoid (1%) was the only bullous disorder encountered in this study. Greying of hair (90%) was the commonest hair change and vertical ridging of nails (40%) was the commonest physiological nail change seen in this study. CONCLUSION As there is significant number of geriatric population, the increased emphasis on geriatric medicine is inevitable. This present study helps in providing greater understanding of pattern of geriatric dermatoses that aids in early diagnosis and management.