Abstract Background: In Egypt; Elderly populations are at higher risk than adult population for health problems and disability increase with increasing age. The study aimed to identify prevalence rate of disability among elderly at Assiut district. Subject and methods: cross sectional research design was utilized. Setting: The study was conducted in three randomly selected villages namely (Al-Shaghaba, Elwan and Awlad Ibrahim) at Assiut district. The total sample size was 1000 elderly after conducting home visit from the previous setting who were selected by convenient sample. Two tools were used ,The 1st tool: A structured interview questionnaire sheet which included socio-demographic and medical data, The 2nd tool: A questionnaire that assessed the levels of various disabilities among elderly people by Clifton Assessment Procedure for the Elderly and scale to asses activity of daily living. Results: (34.7%) of studied elderly had mild impairment. While the mean ± SD score of activity of daily living was 4.87 ± 1.89 Conclusion There was a positive correlation between elderly age and Clifton assessment procedures while a negative correlation was found between elderly age and Activity of Daily Living and the main percent of the studied elderly had mild impairment. Recommendation: Provide individualized education for elderly and their families to improve their knowledge about disability problems of elderly people.