With aging, the body undergoes anatomical and physiological changes, which in old age is often accompanied by ill-health and/or disease. This not only applies to general health, but also oral health. Oral health problems are common in the elderly as a result of functional and pathological changes and dental students must be aware of these changes. Objectives:The aim of the present study was to evaluate the attitude and knowledge of dental students towards the elderly patient, at the Dental Faculty, University of the Western Cape, South Africa. Methods:Self-administered questionnaires were handed out randomly to 30 fourth year and 30 final year students. A staff member from each discipline was interviewed (n=10). Results:Twenty four males and 46 females aged between 20-35 years responded. The majority of students did not prefer treating the elderly patient and reported difficulties. Reasons cited included: lack of co-operation, misunderstanding treatment rationale and dismissive attitudes of the elderly. The knowledge of the students regarding management of the elderly patient was assessed to be reasonably competent, with final year students having more knowledge and skills. Most students were reasonably motivated to treating the elderly (p=0.012). Although students had difficulties in treatment of the elderly, the majority felt it was a positive experience. Conclusions:The fact that students preferred not to treat the elderly may be attributed to apathetic approach towards modules on holistic care of the elderly. With the increasing numbers of the geriatric population, it is important that more emphasis be placed on it in the curriculum.