Ovarian foramen undulare surgery should be decided on an individualized basis. Elderly people are physically able to undergo surgery for patent foramen ovale, but they should be treated under the care of a medical professional. Ovarian foramen undulant can cause unexplained migraine, stroke, dyspnea, and upright hypotension. If it is clear that the discomfort is caused by foramen ovale unenclosure, you should seek medical attention. Elderly people who are in good physical condition and can tolerate surgical treatment can undergo surgical treatment for patent foramen ovale and should pay attention to rehabilitation after surgery. If the elderly are in poor physical condition and cannot tolerate the surgery, or if the elderly have blood clotting abnormalities, most of them are not recommended for surgical treatment. Specific recommendations should be made by the attending physician.