At present elderly couples are more likely to consult social services. This article is based on the qualitative analysis of 13 interviews with social workers supporting older people and working in the French-speaking area of Valais (a canton of Switzerland). It aims to explore the following questions: To what extent and how social workers take into account conjugality in elderly care? How do they deal with gender inequality and conflict situations in couple relationships? How do they justify their decisions and practices in front of those situations?