The treatment of osteoporosis in the elderly is divided into non-pharmacological and pharmacological treatments. Non-pharmacological treatment is an important aspect of treatment, starting with exercise therapy. Exercise helps maintain bone mass, but it should be done in moderation. Second, nutritional therapy. Adequate intake of calcium, vitamin D, vitamin C, and protein can help prevent osteoporosis. The third, prevention of falls. Falls can easily lead to fractures, which pose a great threat to the health of the elderly. On the other hand, the treatment is pharmacological. Commonly used basic drugs are vitamin D and calcium preparations, special therapeutic drugs, there are hormone replacement therapy, including the use of estradiol and androgens, but also diphosphonates, calcitonin, strontium salts, etc. The treatment of drugs, especially hormones, has its indications and contraindications, and the use of different drugs is very different and needs to be carried out under the guidance of a professional doctor. The best treatment for osteoporosis in the elderly should be a combination of prevention and treatment, prevention is more important than treatment, to put prevention in the first place, must develop habits, regular review of bone density. Low bone density with severe osteoporosis must be taken seriously and must come early to prevent fractures.