Hearing loss in old age is often addressed from a biomedical perspective, emphasizing sensory deficit and rehabilitation through assistive technologies. However, this article proposes a broader approach, centered on the new meanings constructed by older adults in the face of communicative transformations imposed by hearing loss. Based on recent studies and accumulated research in the field of Communication Disorders, the analysis highlights how the meanings attributed to deafness in later life are intertwined with issues of identity, belonging, and social inclusion. The article also underscores the importance of interdisciplinary practices and public policies sensitive to the communicative needs of older adults, recognizing listening as both a human right and a gesture of care.