The working population is aging fast in most European countries and in the USA. The health and well-being of an elderly shift worker depends on the interaction of several individual, medical, psychosocial and job-related factors. These factors are related to the biological ageing process, but also to changes in one's individual life situation and the needs of the ageing shift worker. The evidence of good age-specific solutions in working hours is limited, but the few published intervention studies support the use of individual flexibility, rapid forward rotating shift systems, and earlier shift start-end times in three-shift work. In addition to the development of shift schedules, the counter-measures to improve the health and well-being of ageing shift workers should be focused on the improvement of occupational health care and the promotion of appropriate coping mechanisms for the aging.