Geriatric patients are often both Qi and Blood Deficient. As weakness and Deficiency progress, Evil Qi (Xie Qi) can invade. This disease process manifests as accumulation of Phlegm and Stagnation of Qi and Blood forming cancer. Cancers need to be addressed differently based on their TCVM pattern. If there is obvious Spleen Qi Deficiency, Liver Qi Stagnation or Blood or Yin Deficiency, that also needs to be treated or even considered first. Even more so than younger animals, geriatric patients need to have harmony restored to their bodies for cancer treatment to be most effective. In cancer due to Blood Stagnation/Stasis besides the presence of a mass, the animal may have agitation or anxiety, increased thirst, panting and Heat signs. The tongue is usually purple and the pulses are wiry, choppy and tense or weak. Acupuncture points, Chinese herbal medicine, Tui-na and Food Therapy are selected to invigorate and move Blood, resolve Stagnation/Stasis and support underlying Qi/Blood Deficiency. Animals with cancer associated with Qi and/or Blood Deficiency have a mass, but also have pelvic limb weakness, lethargy, increased sleep, dry hair coat and foot pads with a lavender or pale tongue and weak thin pulses. Acupuncture points, Chinese herbal medicine, Tui-na and Food Therapy are selected to tonify Qi and Blood support the Kidney and strengthen the Spleen and move Stagnation. With traditional Chinese veterinary medicine treatments, many geriatric animals may live in harmony with their cancer for prolonged periods and enjoy a high quality of life.