Objective: To investigate the current status of the elderly inpatients’ satisfaction on the quality nursing care, and to analyze its related factors in order to improve the quality of nursing and provide high quality nursing for inpatients. Methods: A total of 803 geriatric surgery patients who enrolled in 53 Elderly Surgical Ward of The Xiangya Hospital of Central South University from Jan. 1^st , 2017 to Dec. 31^st, 2017 were included in this study. The clinical data were collected such as general condition, symptoms, signs and parameters of curative effect during patient’s hospitalization. The satisfaction of nursing care was assessed by questionnaire, and to analyze the related factors. Results: A total of 803 patients, aged 61–90 (65.04±16.14) years, were recruited, the hospitalization time was 5–24 (12.30±4.10) days. The total satisfaction score of 803 hospitalized patients was 90.04±15.34, 88.9% of the patients were satisfied with our nursing work. The satisfaction scores presented better score in life care (91.06±13.40), nursing technology (92.35±12.78) and health education (91.82±13.54). Multivariate analysis showed that elderly, winter and spring seasons, long hospitalization, inability to service and poor service attitude were the influencing factors of nursing satisfaction (P<0.05). Conclusion: According to the specific situation of elderly surgical patients, nursing care for elderly inpatients with long-term hospitalization should be strengthened, especially in winter and spring. Improving the accessibility of nursing service and the service attitude may help improve the quality of nursing care and further achieve better outcomes.