This book explores the unique group of elders, ages fifty-five and older, who practice some form of consensual nonmonogamy. It covers both the joys and challenges of multiple relationships for elders and explores how their relationships develop and evolve. Polyamorous elders have the complexities of juggling multiple relationships, as well as navigating all the issues of aging: managing medical conditions and disabilities (their own and/or their partners’); assuming caregiving responsibilities for aging relatives; grieving the deaths of parents, siblings, and partners; retiring from careers and starting new lives; and potentially moving into some form of senior living. Drawing from her extensive clinical and personal experience working with this population, Kathy Labriola provides anecdotes from polyamorous elders’ lives, including the constellation of relationships surrounding each individual, couple, or triad. This guide will help health care and mental health clinicians, researchers, and professionals, as well as polyamorous elders and their loved ones, better understand the concerns and diverse lifestyles of this population to better represent and support them.