The number of elderly patients with gastric cancer operation is increasing, who were distinctly characterized by organ dysfunction, more complications, high risk of anesthesia, more postoperative complications and high mortality. Laparoscopy-assisted gastrectomy as a safe minimally invasive operation has been widely recognized and popular in clinical practice, but many contradictions and problems remain with its application in the elderly patients with gastric cancer. Thus this paper summarized the application of laparoscopy-assisted gastrectomy in elderly patients.