0bjective To investigate the diagnostic value of hysteroscopy in endometrial disease in female senility. Methods 130 cases of old-age women(≥ 60 yrs)were divided into two groups according to asymptomatic group and symptomatic group. They were evaluated by hysteroscopy and pathological diagnosis. Results It was found by hysteroscopy that the causes resulting in old-age women were as follow:endometrial polyps(46.1%),atrophic endometritis (26.9%),endometrial hyperplasia(10%),submucosal hysteromyoma(6.1%),atypical hyperplasia(6.1%),endometrial cancer(4.6%). The prevalence of benign endometrial disease of the two groups are 96.1% and 84.8％ respectively, the prevalence of malignancy or atypical hyperplasia were 3.9%and 15.2% respectively. The difference between two groups was significant (P<0.05).Conclusions The endometrial disease of old-aged women can be evaluated successfully by hysteroseopy and biopsy.