Constipation is a frequent complaint among the elderly. Misconceptions about normal function and insistence on a daily bowel movement may be factors which have led to the overuse of laxatives. Evidence of gastrointestinal blood loss, a recent change in bowel elimination pattern or complications of constipation are indications for evaluation by complete laboratory, endoscopic and radiographic procedures. Natural fiber, careful attention to diet and fluid intake, regard for toilet needs and encouragement of activity are recommended as effective means for correcting constipation.