Age is the leading predictive factor for most of the chronic diseases that account for the majority of morbidity, hospitalizations, health costs, and mortality worldwide. These diseases include Alzheimer disease and other neurodegenerative diseases, cardiovascular disease, and most cancers. Chronological age is also the main risk factor for the geriatric syndromes, including frailty and immobility as well as decreased physical resilience, which is manifested by delayed or incomplete recovery from stressors, such as surgery, hip fracture, and pneumonia. The prevalence of these problems not only increases with age, but these conditions tend to cluster within older individuals, leading to multimorbidity. Therefore, if any single major age-related disease were cured, it would only be supplanted by others, adding little to quality or length of life and limiting the effectiveness of treating age-related chronic diseases one at a time.The fundamental aging processes that contribute to phenotypes characteristic of advanced old age, such as muscle weakness and loss of subcutaneous fat, also appear to underlie the major chronic diseases, geriatric syndromes, and loss of physical resilience. These aging processes can be broadly classified as follows: (1) chronic, low-grade inflammation that is "sterile" (occurring in the absence of known pathogens), together with fibrosis; (2) macromolecular and cell organelle dysfunction (such as DNA damage, dysfunctional telomeres, protein aggregation and misfolding, decreased removal of damaged proteins, or mitochondrial dysfunction); (3) changes in stem cells and progenitors that lead to reduced capacity to repair or replace tissues; and (4) cellular senescence. These aging processes are frequently evident at etiologic sites of chronic diseases, for example, in the brain of patients with Alzheimer disease or in the adipose tissue of patients with type 2 diabetes. Activation of any single fundamental aging process tends to influence the others. In laboratory animals, genetic or other interventions that target a particular aging process often also target others. Thus, fundamental aging processes are an attractive target for developing interventions to delay, prevent, or alleviate age-related disorders as a group.