Does my transmission fluid need to be flushed and replaced

At this age - anything could happen at any time.

The notion that proper servicing of the transmission will actually CAUSE problems is an old wives tale. Many people can have problems after service because a) coincidence; b) the service wasn’t done right (failure to change filter, incorrect fluid); c) they had the service because they started to have problems - in which case it was too late & the service wasn’t the “cause” of the problem.