Von Willebrand disease (VWD) is the most common bleeding disorders and especially milder type 1 VWD might not be cared for in specialty clinics. Von Willebrand factor (VWF) levels rise with age, but the rise of these levels do not necessarily correlate with bleeding risk. A recent bleeding history combined with recent labs are important for hemostatic management decision during surgical interventions. Antifibrinolytics appear safe in the elderly population, while DDAVP should be used …