Virtual reality is the computer-generated simulation of a real-world environment. For over 20 years, this technology has been used for health-related and rehabilitation purposes. The new generation of wireless gaming consoles has brought low-cost, easily accessible virtual environments to lounge rooms, physiotherapy clinics and aged care facilities. The purpose of this paper is to review the emerging literature on the use of active gaming technology (Nintendo's Wii驠with older people. The results of a recent qualitative study on the acceptability and feasibility of implementing Wii頩n aged care settings will also be presented. As broadband-enabled healthcare expands and gaming technology advances, gaming consoles could be used for more than recreation. In addition to the potential health benefits, connecting older people to peers or health professionals in this way may be a strategy to counteract the social and physical isolation experienced by a growing number of those living in the community.