Elder abuse and neglect can mean a variety of different things from inflicting physical, emotional, or psychological harm, to abusing or exploiting financially, to intentional or unintentional neglect. It is estimated that 2.1 million elderly Americans suffer this abuse or neglect, making this issue both prevalent and pressing. In civil questions of elder abuse, the forensic pathologist must pay careful attention to signs of unexplained injury, head trauma, concussions, and all other signs of bodily damage. The Forensic Panel currently works with experts who are at the cutting edge of this topic and can readily identify the signs of elder abuse and neglect. At times, signs of abuse are clearly reflected in medical records; at others, it is not so clear. The Forensic Panel’s peer-review oversight lends confidence to the determination of abuse and brings medical certainty to educate the court.