The rate of ageing is increasing among Germany and China’s populations. This trend is especially apparent in the countries’ urban centres, which face hurdles to adapt to this demographic shift. Whereas technical standards for primarily infrastructural adjustments are already in place or in development, their application as well as the social integration of the elderly remains an even greater challenge. Both countries have acknowledged this challenge and are restructuring their institutional landscape, adding new responsibilities, tasks and drafting political guiding documents. This article introduces the institutional landscapes and political approaches as well as innovative solutions on the local level which can all promote age-appropriate cities. This article argues that complex institutional landscapes are vital to address the multi-layered issue but notes that they also risk fragmentation and developing poorly integrated approaches. Thus, the chapter presents that boosting multi-sectoral and multi-actor cooperation on all levels to be the most suitable approach to sufficiently prepare cities for the ageing society.