The Asia-Pacific region is undergoing profound and rapid population changes. All countries in Asia and the Pacific are in the process of ageing at an unprecedented pace, although the timing and pace of this transition varies across the region. The Madrid International Plan of Action on Ageing (MIPAA) is the global guiding document on population ageing, and with its round of third review and appraisal, this publication explores the progress made by countries in implementing MIPAA, addressing the challenges and issues faced by different countries.