Elder abuse and neglect is a major emerging problem in modern society. The population is aging and risk factors such a poverty, poor access to housing and social supports, barriers to access to health care, and cognitive impairment are all co-factors the contribute to this problem. Elder abuse can take many forms from chronic assault, financial abuse, sexual assault, and emotional maltreatment. The neglect of the elderly is also a sad reality in urban centres, with malnutrition and chronic disease playing a major role in causation. This conference is aimed at healthcare workers, social service providers, and related interested parties. The goal is to increased awareness and review the state of the art in elder abuse and neglect. The perspective of the conference will be mostly medical, and is greatly informed by the investigation of elder death using the medicolegal autopsy as a primary tool.