This article reviews and discusses the characteristics and needs of aging survivors of the Holocaust. Journalistic and historic accounts have documented the gruesome details of the Holocaust and, to a lesser extent, the consequences of these harrowing experiences. Professional and scientific efforts in the immediate postwar years have aimed to specify and understand the mental health consequences of the Holocaust in survivors. Efforts have also been directed to aid their adjustment to the postwar years.The article addresses attitudinal and assumptional issues first. These include assumptions and generalizations prevalent in the literature concerning the effects of the Holocaust on survivors. Second, conceptual issues are explored in order to facilitate a better understanding of the nature and needs of victims of the Holocaust. These include a review of mental health consequences of extreme stress, the role and importance of coping style and coping resources, and the interaction of stress, aging and resources in later years of life. Next, this article offers directions for professional efforts aimed at aiding the adjustment to aging of Holocaust survivors and members of their families.