Overall physical fitness has become increasingly popular in the 1990s, especially in the geriatric community. More runners, bikers, swimmers, and aerobic advocates over the age of 55 are requiring medical attention for foot complaints, as the feet are a necessary tool for almost any athletic activity. This paper discusses the most common foot disorders in active geriatric patients and outlines a variety of conservative and surgical approaches to management. The goal is early return to pain-free activity.