Introduction. The incidence of gastric cancer remains at a high level, despite a slight decrease in the incidence in the last decade. More than 900 thousand cases of stomach cancer are registered annually in the world, about 738 thousand die from this disease per year. Among cases reported in the US between 2005 and 2009, 29% are between the ages of 75 and 84. According to MNIOI them. P.A. Herzen in 2018, the incidence of stomach cancer was 5.9% in the total structure of oncological morbidity. The average age of patients with a first-ever diagnosed gastric malignancy in Russia in 2018 is 67.5 years, which determines the relevance of the problem in this age group. The death rate from stomach cancer in 2018 was 18.97 per 100,000 population. Materials and methods. The results of treatment of elderly and senile patients operated on for gastric cancer from 2000 to 2012 were analyzed. The total number of patients is 1250. The average age of patients is 67.7 years. Results and discussion. Postoperative complications occurred in 8.16%. Postoperative mortality was 2.08%. 3-year survival 59%, 5-year survival 42%. Conclusion. Immediate and long-term results of surgical treatment are at an acceptable level, improvement of separated survival is possible due to improved detection of the disease in the early stages and the development of drug treatment.