We often encounter patients’ families asking whether our elderly family members, who are in their 70s, can be treated surgically now that they have a fracture. This is a very complex question, and the answer to this question requires a comprehensive assessment of the patient before it can be answered. We can responsibly tell you that our department has already operated on a 98-year-old man with intertrochanteric fracture, a 94-year-old man with artificial femoral head replacement, and a 94-year-old man with vertebroplasty, which are currently the oldest records of our department in each common disease, and these three diseases are also the most common diseases in elderly patients. We have to check and evaluate the patient’s cardiopulmonary function before surgery, mainly to consult the anesthesiology department and assess whether the patient can tolerate anesthesia. Some patients, despite being younger than our records, are not in good physical condition and have difficulty in tolerating anesthesia and surgery, so firstly, we have to look at the patient’s general condition, secondly, we must have rich experience in anesthesia and surgery, and in postoperative management we must have A series of methods must be available to deal with various unexpected situations that may arise at any time, and the elderly need careful care after surgery, close observation of changes in their condition, and active management. Management is very difficult, with many complications, such as pneumonia, lower limb venous thrombosis, etc. Active cooperation and joint management with internists are needed to help patients survive the dangerous postoperative period. As the postoperative period gets longer, the safer it gets.