Senior sportsmen and -women still participate in great numbers in sport events, particularly in endurance sports. Among the participants of the Jungfrau Marathon 2014 were 43% of the 3046 runners older than 50 years. These persons beeing active in sports have age related sportmedical problems. With four case reports the article tries to give concrete propositions to the sportsmed physician. Some of the graphics and tables are particularly appropriate for the counselling of active seniors in sports.