This study focuses on medico-social support for the elderly in the town of Gemena, particularly in the SUKIA district. It all started with a bitter observation and a sad reality about the abandonment of old people in our circles. In the streets of Gemena, it is not uncommon to find elderly people either begging or carrying heavy loads on their heads to go and sell. So, they had to give themselves a deserved rest. The objective that we have set for ourselves is to identify the socio-economic and health conditions in which the elderly in our community live. But also, identify the obstacles to their support. We used a descriptive, transversal estimate in the quantitative approach. The sampling type was of the probability cluster type, with a sample size of 200 people. The question we asked ourselves was how to provide medico-social support for the elderly in the town of Gemena. We started from the hypothesis according to which medico-social support for the elderly is almost non-existent in the city of Gemena because of: poverty; the abandonment of children and the lack of support from the Congolese state. At the end of our study, we came to the conclusion that medico-social support for the elderly is provided largely through the support of children, while support from the Congolese state is nil.