Anti-oppressive assessment of patients is an approach to assessment that considers issues such as privilege, oppression, identity, context, and power as important elements in the process of diagnosis and treatment. Particularly on an emergency, on-call basis, the dynamics of power, privilege, and the potential for oppression can all become amplified. An anti-oppressive approach involves a commitment to social justice, including minimizing power imbalances and promoting equity and empowerment for patients as well as understanding one’s own social location and how this affects one’s relationships and practice behaviors. For geriatric patients, anti-oppressive practice allows consideration of the specific vulnerabilities facing this population. An anti-oppressive approach to assessment and care of geriatric patients can enhance the clinician’s understanding of the predisposing, precipitating, and perpetuating factors in a patient’s presentation.