Adapting to old age is an arduous task in every society. For Asian immigrants because of drastically different value systems getting old in the U.S. poses a number of dilemmas. For the Indo-American elderly and their families a major dilemma is whether to expect and abide by the value orientation of collectivism or follow the main stream American value of individualism. In this study the ethnographic approach operationalized through Interpretive Interactionism for an understanding of the interaction between the elderly and their families and their overall coping and adaptation process in the United States is presented.