The treatment of renal tumors in the elderly can be treated with radiotherapy, chemotherapy and surgery according to different types. 1. Benign renal tumor: if the diameter is less than 4 cm, no nephrectomy can be considered and cryoablation, radiofrequency ablation, laser ablation can be used. 2. Kidney cancer: for limited kidney cancer without clear metastasis; tumor invading adjacent organs but without distant metastasis, and preoperative assessment that the tumor can be completely resected, etc., radical nephrectomy can be considered, and interventional therapy (renal artery embolization, hepatic artery embolization), ablation therapy and other methods can also be used for treatment. Patients with advanced stage can use Sunitinib, Pezopanib, Pabolizumab and other drugs under the guidance of doctors for treatment. 3. Renal pelvis cancer: radical ureterotomy is mainly considered. 4. Nephroblastoma: it can be treated with vincristine, gentamicin, cyclophosphamide, etoposide and other medicines under doctor’s guidance; surgical treatments mainly include radical resection of unilateral nephroblastoma, tumor debulking of bilateral nephroblastoma with preservation of renal unit, and so on. When renal tumors are diagnosed in the elderly, it is recommended to go to regular hospitals in time for consultation and treatment, and the drugs should be reasonably applied according to the doctor’s prescription.