During the past decade the fields of gerontology and social work have paid close attention to Latino elders in the United States. This article reports on the findings of a study examining the needs of Puerto Rican elders in a New England city and the role of sons in the caregiving process. Sons as primary caregivers have not been addressed in depth in the literature. Recommendations are made for social workers working in gerontology to maximize outreach and support to caregiving sons.