Similarities and differences in the way geriatric rehabilitation is viewed in the Federal Republic of Germany and in the United States are highlighted. The philosophy and goals of geriatric rehabilitation in both countries are basically similar. However, there are some differences, particularly in practice applications and in how the historical and social contexts of each country influence what is emphasized. This article traces the relevant knowledge components and practice application in each country and makes some comparisons. In addition, differences in how members of the geriatric team function are described, as well as the varying educational preparations of team members. Developments in both countries suggest that substantial integration of knowledge already has taken place. The continuation of this trend should bode well for the future.