Ephor gives support to the “treatment as a lady” slogan. Especially the appropriate treatment of an old lady is of importance. Elderly women are using large amounts of medicines. They deserve to be included in trials to avoid the wrong dose and severe adverse effects after the authorization of the drug. This is also the case for elderly men. There is also a need for research in old men in diseases common in women as osteoporosis. Personalized medicine is of importance, however don’t forget to avoid harm in old persons.