Background: How to deal with the phenomenon of population aging is influenced by the way we on aging. Understanding how middle-aged people perceive healthy aging and what they need to do to stay healthy as they age can help public policy planning to enhance the lifestyles of middle-aged and elderly people. The purpose of this study was to clarify the concept of healthy aging and look at strategies to achieve it from the perspective of middle aged people in Tehran.Methods: This study was conducted on 21 Iranian middle-aged people aged 45-59 years old with a qualitative approach and content analysis method. Sampling was carried out gradually until data saturation through purposive sampling was achieved.Results: From the perspective of the participants, healthy aging is being physically healthy, having good mental health, financial welfare, and social support. From the perspective the subjects studied, financial planning for the future, promoting physical health, promoting psychological health, and maintaining and improving relationships are strategies needed to achieve healthy aging.Discussion: From the point of view of middle-aged people in the studied population healthy aging is affected by the economic status and the role of financial factors on health is specifically emphasized.The effort put in by middle-aged people to prepare for physical, mental, social, spiritual, and financial aspects in life can lead to a better experience when aging. In addition to personal preparation of middle-aged people for their future, given the importance of the financial aspect in Iranian society, support of the public sector is important to create a suitable environment for the aging population.