Background: Individuals with spoken or written communication difficulties can use augmentative and Alternative Communication (AAC) devices. These devices are beneficial for people with various conditions. According to SLPs, AAC is more effective for people with significant communication difficulties. Devices are recommended based on the patient's strengths and deficiencies. Objective:To determine how speech-language pathologists treat older people with neurological disabilities who use augmentative alternative communication. Method:This study was a cross-sectional survey. A purposive sampling technique was used to collect data. After obtaining consent from the institute. Data was collected through a questionnaire from both male and female speech therapists dealing with neurological deficits in the adult population. For this purpose, the sample size taken was 260. The survey included a predesigned questionnaire about how long SLPs were practicing and their comfort levels regarding both AAC implementation and assessment. The data was analyzed by using SPSS which was a statistical software program used for data analysis.Results: The present study showed that speech and language pathologists had a better understanding of working with individuals. AAC was widely utilized due to its dependability, availability of technical assistance, and ease of use by the user. Conclusions: It was concluded that the majority of SLPs have knowledge about AAC in the geriatric population. AAC techniques should be understood by speech-language professionals. The AAC technique should be implemented as soon as feasible to provide impacted persons with a means of communicating themselves. AAC treatment can be used as long as it is needed.