Although we pride ourselves on being a society that is filial and respectful to the elderly, we also embrace a lot of age-related biases against older adults. When these ageist attitudes are practised in the healthcare system, it can affect the quality of care provided to older adults. We'll discuss the subtle and overt ways in which ageism manifests, from healthcare professionals’ attitudes to systemic barriers that limit access to treatments and services. Joining this discussion are Professor Dr Shahrul Bahyah Kamaruzzaman, President, Malaysian Healthy Ageing Society; Professor Nathan Vytialingam, Honorary Fellow, World Federation of Occupational Therapists; and K. Siladass, Advisor, Malaysian Healthy Ageing Society.