This report provides an overview of levels and trends in population ageing and the situation of older persons in Asia and the Pacific. It also provides an overview of policies and good practices on population ageing from across the region. The report is being published following the Asia-Pacific Intergovernmental Meeting on the Fourth Review and Appraisal of the Madrid International Plan of Action on Ageing, convened from 29 June to 1 July 2022. The report draws together different documents prepared for the review and appraisal process, including voluntary national survey responses by ESCAP members and associate members, summaries of consultations with non-government stakeholders, and the report and outcome document adopted at the intergovernmental meeting.