Objective：To evaluate the clinical manifestations, therapeutic characteristics, postoperative complications and perioperative management of elderly patients with gastric cancer. 
Methods：Clinical data of 101 aged paients with gastric cancer were retrospectively analyzed. The analysis mainly focused on the management of preoperative coexistent diseases and postoperative complications.
Results：Gastric cancer patients more than 70 years old  (aged patient group) had non-specific clinical manifestations and significantly higher rate of preoperative coexistent diseases compared to the control group of gastric cancer patients who were less than 70 years of age (49.5% vs. 21.3%, respectively, P<0.05). The postoperative complication rate in the elderly patients (18.8%) and younger patients (15.2%) was not significantly different (P<0.05). Among the elderly patients with gastric cancer, 98 cases (97%) underwent surgical resection, including 87 cases (86.1%) who had radical resection.
Conclusions：The rate of preoperative coexistent diseases and postoperative complications are higher in aged patients with gastric cancer. Reinforcement of perioperative management of aged patients with gastric cancer could significantly reduce the incidence of  postoperatvie complications and improve the survival rate and quality of patient′s life.