Chronic pain is common in older adults and its consequences are often severe. Several studies have demonstrated that pain in older adults is poorly controlled because they underreport pain and caregivers often underestimate patient's pain. Analgesics can be used safely and effectively in this population. Start with the lowest effective dose, monitor frequently on the basis of expected absorption and pharmacokinetics of the drugs and then titrate on the basis of clinically demonstrated effects and the side effects. Other aspects of the management of pain in older persons will be described in the article.