In geriatric medicine frailty has recently moved from being a descriptive word that was used frequently but not always accurately, to a condition that it is now quite well defined. Frailty may be viewed as a state of increased vulnerability due to accumulated deficits 1, or a phenotype represented by unexplained weight loss, slow walking speed, low handgrip strength, self reported exhaustion and low physical activity 2 . Its presence has been linked to a number of adverse outcomes including disability, institutionalisation and death 2. A number of studies have shown that frailty is treatable 3,4. Successful interventions include targeted exercise programs, nutritional modification, and other components depending on individual needs 5. This presentation reviews the results of trials which have intervened in older people with phenotypically defined frailty, and looks at the interventions that have been successful. It discusses how these findings might be used in the recognition and management of older people with frailty in clinical practice, including the usefulness and validity of screening instruments 6.