With the advancements in modern medicine, life expectancy in Southeast Asia has increased dramatically during  the20th century.The  elderly population in low to middle-income countries has been predicted to increase more than three times compared to higher -income countries between 2010 and 2050.Due to an increase in the aging demographic, surgeons are more likely to operate on these patients with up to 30% of invasive procedures performed during the final year of life.A hospitalized older surgical patient is faced with many challenges during their phases of perioperative period. Apart from surgery there are many factors which can cause a huge impact on their frail body systems which includes fasting,intraoperative blood loss,anesthetic drugs,opioid analgesics,post operative nausea and vomiting ,hospital environment and immobility during perioperative period. Frailty is a frequent and  underdiagnosed functional syndrome involving reduced physiological reserves and an increased vulnerability against stressors, with severe individual and socioeconomic consequences.A routine frailty assessment during preoperative anaesthesia assessment can help identify patients at risk.