Aim: Cervical disc disease (CDD) is a common clinical entity. This is a retrospective comparison study of surgical CDD outcomes in 285 geriatric patients (age > 65) and 2715 non-geriatric patients (age < 65). Methods: The geriatric group consisted of 146 men and 139 women, with mean age of 70.4 years. Results: Geriatric patients, when compared to non-geriatric patients, were more likely to present with chronic, multi-level, severe radiculopathy and myelopathy. Patients > 65 years old required more instrumentation use than patients < 65 years old. Conclusion: Overall outcomes were less favorable among geriatric patients, with significantly lower percentage of excellent/good outcomes, significantly greater percentage of poor outcomes, and more frequent clinically relevant recurrence. In addition, length of hospitalization was significantly greater in the geriatric patient group.