Abstract:How to improve the physical and mental health of the elderly through the design of the living environment is an urgent problem in the increasingly severe aging society. By selecting 9 residential quarters with 3 different quality levels in Guangzhou as the study area, this paper used questionnaire and interview to investigate the characteristics and differences of the elderly’s understanding of the health benefits of the living environment,such as landscape quality, spatial form, and microclimate environment. The results showed that there were differences in the understanding of environmental health benefits of the elderly among different quality residential quarters.The elderly both in high-quality and old residential quarters showed the highest level of understanding of the health benefits of microclimate environmental factors, followed by the spatial form and landscape quality,but differences in specific environment factors; the elderly in ordinary residential quarters showed the highest level of understanding of the health benefits of microclimate environmental factors,followed by landscape quality and spatial form.