This study provides a review on a swallowing therapy program as a part of a comprehensive language rehabilitation program for the elderly patients with severe aphasia. Based on a review of the literature on the cause and treatment of dysphagia and treatment efficacy studies, an extensive intervention program was suggested. The treatment options for dysphagia include direct modification, such as the postural/environmental control and the food selection/administration. The indirect modifications are designed to improve patients’ cognitive and perceptual status, oral hygiene, muscle tone and movements, and normal swallowing reflex. The suggested program are should be re-designed for the individual patient, and effectiveness of treatment strategies should be reevaluated frequently.