Anyone actively involved in physical fitness and exercise is aware of the renewed interest in the importance of exercise programs for the elderly. Osteoarthritis is the most common form of arthritis affecting the aging population. This degenerative disorder of movable joints affects 50% of people in their sixties and 78% in their eighties (Hahn, 1983). Yet there is very little in the literature related to exercise and osteoarthritis. This article pursues the need for the elderly person with arthritis to remain physically active. Creative approaches with regard to exercise and arthritis are presented. Discussion will touch upon normal physiologic changes that occur with aging.