Ritual returns us to the center of who we are. In times of transition, loss, disconnection, and loneliness, ritual offers transformative power. It can provide a language for expression, stability, serve an integrating force in community, mediate tradition, and offer emotional support. This article explores the need for ritual in coping with late life changes, the relationship of ritual to suffering, value of ritual in storytelling and mourning, and explains the role of witness facilitated through community. Therapeutic functions of ritual are addressed and a framework for ritual design is suggested.