Background: Elderly people with pain have a high risk for functional impairments with inability to perform ordinary daily living activities. The aim of the study was to assess the effect of pain on daily living activities among the elderly people in Benha City. Research Design:  Descriptive design was utilized in this study. Setting: The study was carried out at the Orthopedic and Rheumatology Outpatient Clinics at Benha University Hospital and Benha Teaching Hospital in Benha City. Sample: Convenience sample of 130 elderly. Tools: Three tools were used in this study to collect the data. Tool 1 Astructured interviewing questionnaire: consists of three parts to assess personal characteristics of the elderly, pain history of elderly and knowledge of the studied elderly. II: Lowa Pain Thermometer scale to assess pain intensity. III: Scale for assessment of elderly daily living activities. Results: 48.5% of studied elderly their age were 60-<65 years old with mean was 65.65±3.95 and 54.6% of them were male. 87.7% of studied elderly had intermittent pain, 70.0 % of them had sudden pain onset and 50.0% of them had hypertension and diabetes mellitus of chronic disease. 50.8% of studied elderly had poor total knowledge level about pain and DLA and only 14.6% of them had good total knowledge level regarding pain and daily living activities. 44.6% of studied elderly had sever pain and 26.9% of them had very sever pain. 73.1% of studied elderly performed daily living activities dependently and 26.9% of them performed daily living activities independently. Conclusion: There was no statistically significant relation between studied elderly total knowledge scores and elderly personal characteristics except their educational level. There was a statistically significant relation between studied elderly total daily living activities and total pain degree. Recommendation: Develop health education program for the elderly, to control or decrease pain level and improve their daily living activities.