The present paper looks into the situational analysis of elderly women in Orissa. It studies the health, social and economic dimensions of aged ladies in four districts of the state using both qualitative and quantitative data. The results of the study were highlighted in the geographic, socio-cultural and political uniqueness of the state. Findings show that traditional family ties are strong and aged women generally enjoy respect and security at the familial and community level. Almost a half of the respondents were below poverty line. Many administrative hurdles were reported in disbursing social assistance to the needy elderly. Informal support system rule over the state intervention, but in formal community participation systems like Panchayati Raj, Self Help Groups, Mahila Mandals, their presence is negligible. Suggestive interventions were made to suit socio-cultural parameters.