Objective To explore the nursing methods of laparoscopic rectal cancer surgey in elderly patients.Methods The clinical data of 28 scases elderly patients of laparoscopic surgey for rectal cancer received in our hospital from June 2012 to June 2015 were retrospectively analyzed. Results All the 28 patients underwent laparoscopic resection of rectal tumor, the operation time was 2.5-8h, and the hospital stay was 9-20 days after operation. Drainage tube was placed in operation, and the drainage tube was pulled out by 3-5d. 4 cases occurred pulmonary infection, cured after treatment. Conclusion Adequate preoperative preparation strict surgical indications,skilled operation and postoperative care is an important guarantee to ensure the laparoscopic surgey proceed smoothly and improve the operation effect.