Tunisia, a middle-income country in the Arab Maghreb region north of the African continent, has one of the highest percentages of elderly persons aged 65 and above among Arab countries. Similar to other countries in North Africa, family is the cornerstone for the support of older people, however, family cohesion and care can not be the safety net that older people can always rely on. In the face of new demographic, social, political and economic realities, especially in the wake of the Tunisian revolution, the Tunisian government is called to make the most of existing systems of cultural and social resources to create a public safety net for older persons across Tunisia. This chapter explores socioeconomic realities of older persons in Tunisia, their demographics, health and geriatrics care as well as the existing governmental institutional arrangements for the care and support of older people.