The article presents data on prevalence of the main geriatric syndromes in general medical practice. The method of the structured approach to the assessment of the problems of elderly and old patients that contributes to the early detection of the main geriatric syndromes and also includes a complex as well as interdisciplinary assessment of the state of the physical health, state of mental health, social relations, satisfaction with the quality of life is comprehensively considered. The necessity of applying this methodology in general medical practice is considered.