As personal advocacy programs become more prevalent in the field of aging policymaking, administrators, practitioners, and recipients themselves will be interested in how to approach their design, development, implementation, and management. The authors identify the basic attributes of personal advocacy programs, distinguish them from other forms of assistance in the field of aging, and address how they can operate in practice to produce outcomes of stress reduction, empowerment, self-health care and quality of life. The authors identify relevant strategies for program management and highlight feasibility, quality management, service utilization, appropriateness, and ethical concerns, as well as organizational context and funding options of personal advocacy programs as a variant of empowerment-oriented social work practice.