Aim: The Aim of the study is that laparoscopy is safe and effective for the treatment of surgical diseases in elderly patients. Study Method and Material: In this Study We have Two Group for Study one is the group of patient that is under gone the surgery of inguinal hernia by open and laparoscopic approach and other group is underwent the surgery of laparoscopicCholecystectomy and open Cholecystectomy. After We Than evaluate that which surgical approach is better for the elderly patient. In this Study a randomized, multicentre trial in which Group A of 450 patients with inguinal hernias were treated by extraperitoneal laparoscopic repair and 500 patients were treated by conventional anterior repair. We recorded information about postoperative recovery and complications and examined the patients for recurrences one and seven weeks, six months, and one after surgery.Group B of 100 Compared with open cholecystectomy, elderly patients undergoing the laparoscopic procedure . laparoscopic cholecystectomy is now the technique of choice for acute cholecystitis. It is, however, important to evaluate the results in comparison with classic cholecystectomy, since the latter is still used by some surgeons in certain situations.In this study reporting the results of laparoscopic antireflux surgery in the elderly, the morbidity, mortality, and length of hospital stay were similar to those of younger patients. The elderly had equally good postoperative symptom relief. Result: For Group A: Six patients in the open-surgery group but none in the laparoscopic-surgery group had wound abscesses (P = 0.03), and the patients in the laparoscopic-surgery group had a more rapid recovery (median time to the resumption of normal daily activity, 6 vs. 10 days; time to the return to work, 14 vs. 21 days; and time to the resumption of athletic activities, 24 vs. 36 days; P<0.001 for all comparisons). With a median follow-up of 600 days, 30patients (6 percent) in the open-surgery group had recurrences, as compared with 17 patients (3 percent) in the laparoscopic-surgery group (P = 0.05). All but three of the recurrences in the latter group were within one year after surgery and were caused by surgeon-related errors. In the open-surgery group, 15 patients had recurrences during the first year, and 16 during the second year. Follow-up was complete for 97 percent of the patients. For Group B : Laparoscopic Cholecystectomy versus Open Cholecystectomy: Mortality: 0.7% vs 3,7% (p = 0.0369); Peroperative complications: 3.6% vs 12.9% (p = 0.0006); Surgical postoperative complications: 7.7% vs 17.5% (p = 0.0055); Medical postoperative complications: 4.3% vs 5.5% (p = 0.6077); Lesion of the main bile duct: 0.9% vs 1.8% (p = 0.6091); Reoperation: 2.9% vs 5.5% (p = 0.2315); Hospital stay up to 4 days after surgery: 64.8% vs 18.5% (p < 0.001). The convertion rate was of 10.7%: 8.8% in early surgery (before 4 days after de diagnosis) and 13.7% in the late surgery (after this time but in the same stay) (p = 0.1425). Multiple causes led to convertion: surgical complications (biliary lesions, iatrogenic lesion of the small bowel, perfurations of the gallbladder with spillage of stones); complications during the pneumoperitoneum, unclear anatomy and scoliosis. Postoperative complications in laparoscopic cholecystectomies converted group vs non-converted: surgical 20.4% vs 6.2% (p = 0.0034) and medical 6.8% vs 4.1% (p = 0.4484). Conclusions: Despite underlying comorbidities, individuals older than 65 years tolerate laparoscopic procedures extremely well. Patients with inguinal hernias who undergo laparoscopic repair recover more rapidly and have fewer recurrences than those who undergo open surgical repair. The results justify the frequency with which laparoscopic cholecystectomy is performed in acute cholecystitis, in comparison to open surgery, thus taking an increasingly prominent place in the treatment of this disease.In Laparoscopic Surgery there is minimally invasive procedures result in shorter hospitalization, earlier ambulation, decreased postoperative pain, and more rapid return to routine activities, laparoscopic surgery would appear to be the ideal surgical choice for elderly patients. Although even elderly patients with significant underlying comorbidities can tolerate urgent surgical intervention, all patients clearly have better outcomes when procedures are performed in the elective setting. In light of the evidence that laparoscopic procedures are well tolerated in the elderly.