This document summarizes key considerations for anesthesia management in elderly patients undergoing emergency surgery. It recommends preoperative optimization, careful titration of anesthetic drugs due to increased sensitivity in elderly, and goal-directed resuscitation for patients presenting with abdominal emergencies. Regional anesthesia is preferred over general anesthesia for hip surgeries when possible. Close postoperative monitoring in the ICU is important for high-risk elderly patients after emergency laparotomy to improve outcomes.