The Tsunami that struck the coastal India in 2004 December created untold devastation to life and property. This drew the attention of the world, which organized massive humanitarian aid. As far as the survivors are concerned, the elderly many of whom turned destitute overnight remained largely invisible in the background. At this juncture, Help Age India during its rehabilitation phase planned to create a structure to look after the welfare of the aged in two states namely Tamil Nadu and Kerala. Accordingly, formation of Elders Self Help Groups [ESHGs] in each village, federation of the ESHGs at the village Panchayat and District level have been undertaken through the democratic process. Elders Self Help group (is a group of 12-20 elders, aimed at the socio-economic, physical and psychological upliftment of the working elders.