INTRODUCTION: India in this era of demographic transition, has an enormous geriatric population prone to depression. Presently one in every three elderly suffer from major depression. Even then it is misdiagnosed and undertreated due to social misconceptions and its somatic presentation of mood features, leading to increased morbidity, mortality and health care costs. This could become the second leading cause of disease burden in 2020 OBJECTIVE: To know the prevalence and factors associated with depression among elderly. METHODOLOGY: A community based cross-sectional study was conducted in rural and urban field practice area of Kanachur Institute of Medical Sciences, Mangalore. In the study conducted for one week, 125 elderly population (>60years) were included. Geriatric depression scale (GDS) 15 and preformed validated questionnaire were used. RESULTS: In our study, 89(71.2%) of them belonged to age group 60-70 years, 77(61.6%) were females, 88(70.4%) were married and 78(62.4%) belonged to nuclear family. The prevalence of depression was 47.2%. It was higher in females (53.25%) compared to Males (27.5%). Depression in elderly was associated with paying interests to loans (80%, p <0.001), not satisfied with their children’s job (77.5%, p= 0.00011), and children not obeying them (82.5%, p=0.00049). Among those depressed, 64.3% refrained themselves from meeting friends (p <0.001) and 78.43% often felt helpless (p=0.00001).CONCLUSIONS: High prevalence of depression reflects the need to focus on greater awareness of depression among general population and making consolidated effort towards its diagnosis and treatment, which may go a long way in reducing morbidity, mortality and in improving their quality of life.