It is conducted by the National Senior Games Association (NSGA) once every two years.

Akin to the Summer Olympics, it is a multi-sport event devoted to adults above the age of 50.

[7] In 2021 there are currently five regions under NSGA: Great Lakes, Northeast, Pacific, Southeast, and West.

The 27 athletic events held in Southern Utah begin with the torch lighting in traditional Olympic fashion during the Opening Ceremonies.

Teams of North, East, South and West competed in a domestic Olympics.