Yes, anesthesia is very often safe for older adults, but the risk of side effects and complications can be higher than in younger people. Older adults are more likely to have health problems like high blood pressure, clogged arteries, heart disease, and lung disease, and these can raise the chance of problems during or after surgery. The aging brain is also more vulnerable to anesthetic medicines.

Two brain-related problems are more common in older adults after surgery: postoperative delirium, which is a short-term state of confusion that can start a few days after surgery and usually goes away after about a week, and postoperative cognitive dysfunction, which can cause longer-lasting trouble with memory, learning, and concentration.

Risk can be lowered when the anesthesia plan is carefully tailored. Sources say older adults often need age-adjusted dosing, gradual titration, and close monitoring. It also helps to share all health problems, all medicines and supplements, and any past anesthesia problems before surgery. Verify the exact plan with your surgical or anesthesia team in case they want something different for you.