Pacemakers are recommended for 76 year olds. However, the decision to have a pacemaker is also considered in the context of the patient’s physical condition and indications. The installation of a pacemaker can improve the symptoms of bradycardia or tachycardia and is commonly used in the treatment of cardiac arrhythmia. If a 76-year-old person has bradycardia, it is recommended to have a pacemaker as soon as possible to avoid life-threatening cardiac arrest. However, before installing a pacemaker, it is important to cooperate with the doctor to conduct a systematic examination, fully assess the function of the heart, and understand the precautions as well as contraindications. Therefore, whether a 76-year-old person should have a pacemaker or not depends mainly on the results of the examination and assessment before it can be clarified. If the physical condition of the elderly does not allow, for example, suffering from acute infectious diseases, bleeding disorders and severe organ failure, etc., they cannot be installed with pacemakers. If the elderly person’s physical condition permits and the appropriate surgical indications exist, a pacemaker should be performed as soon as possible.