As urban populations age, creating cities that cater to the needs of elderly residents becomes increasingly vital. This paper addresses the imperative to develop urban environments supporting the well-being of the elderly against a backdrop of changing demographics. With the proportion of elderly individuals steadily rising, the demand for age-inclusive urban design is more pressing than ever. The research question driving this study is: How can sustainable retrofit strategies contribute to age-inclusive urban design, considering the physiological and psychological characteristics of the elderly? Begins with examining the theoretical foundations of sustainable retrofit practices, shedding light on their significance and common objectives. Shortcomings in current urban retrofit practices are scrutinized, highlighting the gaps that need addressing. Integrating research on the physiological and psychological characteristics of the elderly, along with their distinct needs in outdoor environments, the review contributes to a nuanced understanding of age-specific urban requirements. A bespoke sustainable urban retrofit strategy for the elderly is conceptualized, rooted in the principles of urban design. Finally, acknowledging the challenges faced in achieving age-inclusive urban spaces and provides forward-looking recommendations.