Hearing impairment is common among older adults. Aim of the study: to assess the quality of life among hearing impaired elderly patients attending audiology unit at Assiut University Hospital. Descriptive research design was used in this study. Total coverage of all elderly patients with hearing impairment and agreed to participate in the study during six months from 1st of November/2014 to the end of April/2015) were included in the study, their number were 227 patients. Tools: Two tools were used in data collection, tool I: Structured interview questionnaire: includes two parts, part I: included sociodemographic characterstics as, age, sex, residence, part II: included onset, type and degree of hearing impairment. Tool II: Quality of life assessment scale (WHO, 1997). Results: The main results showed that majority of studied sample (80.6%) aged (60-74) years, with mean age of 68.4± 7.4, more than two-third of the studied sample were male. There was a statistically significant difference between hearing impairment among elderly and quality of life. Conclusion: age related hearing impairment (presbycusis) had adverse effects on physical, self-dependence, psychological, social relationships, and environmental features. Recommendation: it recommended that increasing elderly awareness about the importance of regular ear examinations for early detection, treatment, and prevent complications.