At present, age is not an absolute contraindication to any surgery, except that elderly patients often have a combination of many medical conditions, and younger patients are at increased risk of perioperative cardiopulmonary and vascular accidents, which requires adequate communication between the patient and family and assessment of any contraindications to surgery. Degenerative spinal diseases, which tend to get progressively worse with age, are now increasingly prevalent in elderly patients due to the aging of the population and the increasing average life expectancy, as well as the increasing demand for quality of life. Some elderly people are in their eighties or nineties, but they are able to take care of themselves before committing the disease and the medical disease is not serious. For patients of advanced age and with many medical comorbidities, it is strongly recommended to go to a large general hospital for surgical treatment of the spine, rather than some specialty hospitals, because often the strength of the general hospital’s internal medicine, anesthesiology, monitoring room and various auxiliary departments will be stronger and relatively safer. Surgery is not only the surgery itself, but also requires a series of preoperative and postoperative work, and the perioperative management is quite important.