The Old Presbyterian Meeting House is a Christian church located at 321 South Fairfax Street in the Old Town neighborhood of Alexandria, Virginia.

Scottish Presbyterians were among the early European settlers of Northern Virginia and were involved in establishing Alexandria as a port in 1749.

Except for a bell tower added in 1843[5] and granite entrance stairs installed in 1853, it remains little altered to the present day.

[8] Music has been part of the Meeting House heritage from the earliest days, and the church has served as a venue for public concerts for more than two centuries.

Over the years, the Presbyterian Cemetery has provided burial space for merchants, ship captains, the Reverend Elias Harrison—the fourth pastor of the Meeting House, who died during the Civil War—a half dozen of Alexandria's mayors, numerous representatives of the city's governing council, a number of prominent businessmen and philanthropists, and at least one member of the U.S. House of Representatives.

Special services may also feature the Erben organ, brass ensembles, the children's choirs, or other vocal or instrumental groups.

During the Advent season, a half-hour program of "Noonday Noels," held on Wednesdays at noon, provides a brief musical offering and scripture reading.

Through the Presbyterian Church, the Meeting House maintains a very active local, regional, national, and worldwide mission and outreach program.

In recent years, the congregation has been actively involved in social justice advocacy on issues such as affordable housing and improved health services for the poor through the interdenominational Virginians Organized for Interfaith Community Engagement (VOICE).