Aging in Iran is understandable within the framework of three major formulations: biomedical, demographic, and legal, each highlighting a distinct set of issues and policy priorities. At the biomedical level, the high proportion of chronic diseases and the diversity in older adults' functional capacities require a multi-tiered and flexible care system; however, existing responses are largely reduced to three limited options—hospitals, nursing homes, and in-home care—while intermediate services such as respite care and end-of-life care remain undeveloped. At the demographic level, trends toward the feminization of aging, an increase in living-alone older adults, a declining support ratio, and demographic pressure on pension funds, coupled with the unequal geographical distribution of the elderly population, necessitate regional policymaking and long-term planning. At the legal level, the absence of specific legislation for older adults, weak cultural sensitivity toward elder abuse, and insufficient support and reporting mechanisms prevent the rights of the elderly from being fully guaranteed within social, economic, and care systems. Proposed strategies include institutional synergy among responsible agencies, the expansion of diverse care services, planning for higher retirement ages, the formulation of protective laws—particularly concerning elder abuse—the reinforcement of active aging policies with a life-course approach, anti-ageism culture building, the standardization of care services, and the expansion of insurance coverage for elderly care and rehabilitation.