Abstract: Objective To assess early postoperative quality of life in gastric cancer patients and discuss the influence of old age on that.Methods A group of 135 patients were randomly divided into elderly group(aged ≥ 60) and non-elderly group(aged< 60), who were diagnosed with gastric cancer and received radical gastrectomy. Postoperatively 7 days, assessment and comparison were made between the two groups by means of the questionnaire QLQ-C30 of Chinese version. Results The incidence of postoperative complication of pulmonary infection and wound infection were higher in elderly group(P<0.05). In QLQ-C30 assessment, the physical function score of functional subscale in elderly group was lower than that in non-elderly group (P<0.05). Role function and cognitive function scores of functional subscale in elderly group were higher (P<0.05). Pain score of symptom subscale in elderly group was lower (P<0.05). Other items as sleep disturbance were higher in elderly than in non-elderly group (P<0.05). Overall health subscale score was higher in elderly group than in non-elderly group(P<0.05). Conclusion Postoperative quality of life in elderly patients with gastric carcinoma was generally higher than that in non-elderly patients, but physical function and sleep disturbance quality were lower in elderly patients. So targeted measures should be taken in the peri-operative period in this regard.