The phenomenon of population aging is a global challenge, and India is no exception, with projections indicating a significant increase in the elderly population by 2050. Rural locations have limited healthcare and social services, which presents distinct issues. Drawing from empirical evidence and theoretical perspectives, the chapter outlines key issues faced by the elderly. It explores psychosocial and biological theories of aging to comprehend the complexity of aging and its effects on psychological well-being and quality of life. This chapter discusses options to improve rural elderly well-being and quality of life through holistic intervention management strategies, including community engagement, capacity building, access to healthcare services, promotion of healthy lifestyles, and psycho-education and behavioral interventions. These strategies can effectively address the diverse needs of the elderly, ensuring they age with dignity and independence.