For older adults, foot problems can significantly affect mobility, function, and quality of life. Because the foot can impact overall function, the podiatric exam for either preventive or problem-related issues is an important part of geriatric care. The foot exam begins with the shoes and then includes a dermatologic, musculoskeletal, vascular, neurologic, and functional assessment. Common skin and nail conditions include hyperkeratotic lesions, ulcerations, tinea pedis, and onychomycosis. Forefoot conditions include hallux valgus (bunion), hallux limitus, hallux rigitus, digiti flexus (hammertoe), sesamoiditis, fractures, and Mortons’ neuroma (intermetatarsal neuroma). Midfoot conditions include pes planus and posterior tibial tendon dysfunction. Common heel conditions include plantar fasciitis, heel pad syndrome, Achilles tendinitis, and tarsal tunnel syndrome. Systemic disease such as diabetes and gout can also affect the foot. Treatment modalities for foot conditions can include topical, injected, or oral medications, pads or orthotics, and surgical correction. Health-care practitioners are encouraged to examine the feet of their older patients and provide education about foot care and footwear.