Background: Hearing loss is the third most prevalent chronic condition among elderly. Which have a negative impact on their quality of life. Aim of this study: was to assess the effect of hearing loss on quality of life among elderly. Subjects and methods: Research design: A Cross-Sectional descriptive design used in the present study. Setting: The study conducted at the auditory unit in The New Surgery Hospital in Zagazig University. Subjects: on a purposive sample consisted of 200 elderly. Tools for data collection: Four tools were used to collect data: Tool I: A structured interview questionnaire format was developed by the researcher to collect data about demographic characteristics of the studied subjects, medical and hearing history. Tool II: Elderly hearing condition. Tool III: Quality of life of elderly with hearing loss. Tool IV: Hearing aids data. Results: The study revealed that more than two thirds (68.5%) of the studied elderly belonged to the age group 61- to less than 71 years, while most of them (72.5%) were illiterate. More than half of the studied elderly (55.5%) had low total quality of life score compared to 39.0% of them had moderate scores. There was statistically significant relation between the studied elderly total quality of life scores and their socio demographic data (p< 0.05). Conclusion: The study concluded that quality of life of elderly with hearing loss was affected especially role activities followed by social then physical functioning. Recommendation: Applying continuous educational programs for elderly with hearing loss and their families about hearing loss, management, complications and ways to alleviate it.