Hepatitis E in the elderly is the most common type of acute viral hepatitis in the elderly. Elderly patients accounted for 26.5% of hospitalized hepatitis E patients. The proportion of hepatitis E in acute viral hepatitis in the elderly is significantly higher than the proportion of hepatitis E in acute viral hepatitis in the non-elderly. It is characterized by rare fever, slow onset, low elevated values of hepatic alanine aminotransferase, but high elevated values of serum bilirubin, high incidence, severity and long duration of jaundice, more severe disease, prone to biliary stasis and multiple complications. The incidence of severe forms is not high and the prognosis is good.