With aging of the world population (it is estimated that there will be 2 billion people older than 60 years on earth by 2050) (1), the number of geriatric patients undergoing neurosurgery is also constantly rising. This, in addition to the increased incidence of intracranial tumors with age, means that neuroanesthesiologists are likely to encounter a growing number of elderly patients being scheduled for neurosurgery in the future (2). These patients provide unique challenges to neuroanesthesiologists when they undergo neurosurgery, and as in routine anesthesia practice, a comprehensive preanesthetic checkup goes a long way in ensuring the best possible pre-, intra-, and postoperative care to elderly patients.