Exercise improves a wide array of physical and psychological symptoms, including muscle atrophy and weakness, fatigue,obesity,immunefunction,insomnia,anxiety,cognitive decline, and impaired quality of life, among others.Epidemiologicdataalsosuggestthatincreasedphysicalactivity through regular exercise reduces the risk of cancer recurrence andcancermortality.The ACSM published publichealth recommendations for exercise among survivors of cancer. Geriatric survivors of cancer should start low and progress to 150 minutes of moderate-intensity or 75 minutes of vigorousintensity aerobic exercise per week; 20 to 30 minutes of strength training across all the major muscle groups two to three times per week; and regular stretching daily each week.Despite these published public health guidelines, it is estimated up to 70% of survivors do not meet these ACSM public health recommendations.This lack of regular exercise is especially problematic for older survivors of cancer when combined with the considerable physical and psychological comorbidities, symptoms, and side effects they experience.