Background. There is a growing emphasis in academic, policy and popular literature within Western societies on positive discourses of aging. Although such discourses appear to be consistent with central beliefs of occupational therapy, particularly with respect to the health-promoting potential of occupation, critical social gerontologists are raising concerns about how such discourses are being shaped in relation to consumer culture and the rise of neoliberalism. Method and Purpose. Literature examining the emergence and evolution of positive aging discourses was reviewed and reflected upon using an occupational perspective. Results. Positive aging discourses are being shaped in ways that limit occupational possibilities and promote occupational injustices. Clinical Implications. Occupational therapists need to consider ways to enact discursive, practice and policy changes that enable aging persons with diverse abilities and resources to pursue occupations that fulfill needs and promote health.