Aging is the most important risk factor for the main diseases of modern society. Anti-aging medicine attempts to analyze the mechanisms underlying the aging process and derive appropriate treatment options from them. Aging is a multifactorial process whose molecular biological foundations have now been largely deciphered. While there is well-established knowledge about the pathophysiology of the aging process, there is currently no interventional measure that has been proven to extend life in humans. Beyond fashionable excesses, anti-aging medicine plays an important role if it consistently understands itself as preventative medicine against age-associated diseases. A sound anti-aging consultation includes a thorough diagnostic assessment with a detailed medical history to gather information about lifestyle and familial (inherited) risks. This is complemented by detailed individual diagnostics (health and performance diagnostics) to determine organ functionality. Laboratory tests are used to determine hormone status, the body's protective potential against low-level inflammation, possible inherited risk factors (genetic diagnostics), and excessive pro-oxidative metabolism. Why anti-aging? I want to live as long as possible – and as young as possible. Why anti-aging? "We'll get old anyway!" True! But aging healthily is the goal! And that's where anti-aging medicine can make a significant contribution. The desire to halt or even reverse the aging process is probably as old as humanity itself. Anti-aging medicine, however, only became a major trend in the 1990s. To be clear: The sometimes exaggerated promises of this early anti-aging medicine have still not been fulfilled. Since then, there has been significant progress: We now understand the biological process of aging quite precisely. Whether oxidative stress, chronic low-level inflammatory processes, or hormone deficiency – the most important aging factors are now well known. Aging is now the most important risk factor for all the diseases that determine our fate in the 21st century: cardiovascular disease, diabetes, osteoporosis, and dementia. Even cancer is essentially an age-related disease. The goal of anti-aging medicine is to better understand the risk factor of aging and to treat it more specifically. The anti-aging concept: Preventive and anti-aging medicine. Successful anti-aging therapy is fundamentally tailored to the individual patient, yet it is based on a concept. Lifestyle: Anti-aging always begins with a personal lifestyle. A balanced diet and sufficient exercise are the foundation of a health-conscious lifestyle. And, of course, avoiding risk factors is also part of this. First and foremost here is smoking. Balanced diet: A disease has many fathers, the mother is always a poor diet. Avoiding excess weight and ensuring an adequate supply of micronutrients are fundamentally important for healthy aging. Exercise: Hundreds of studies have now proven that exercise is the best medicine. Regular exercise not only prevents cardiovascular disease – it also prevents osteoporosis, dementia, and cancer. Micronutrient supplementation plays a crucial role in maintaining our health. Anti-aging medicine has identified two key aging factors: oxidative stress (the influence of free radicals) and chronic low-level inflammatory processes. Both factors can be influenced through the targeted intake of micronutrients. Targeted and individualized supplementation therefore plays a major role in anti-aging medicine. Hormone replacement therapy: The decline in many hormones with age often leads to impaired function and a loss of vitality. By replacing the missing hormones, these deficiencies can often be compensated. Individualized hormone replacement therapy is therefore also part of the spectrum of anti-aging measures. It always requires medical supervision. Mental balance: Stress and unresolved conflicts are important aging factors. Therefore, a balanced diet and physical fitness are not the only factors that play a role in combating the aging process. Mental balance is also crucial. Aesthetic Anti-Aging: The goal of anti-aging medicine is to slow the biological aging process, not simply to conceal its visible effects. However, those who want to stay younger often also want to look younger. A variety of effective, non-invasive aesthetic anti-aging treatments are now available. Those who look younger often feel younger, too.