Chronic functional constipation (CFC) is a common disease in the elderly, and makes unignorable harm. There are many treatments of CFC, including lifestyle adjustments, drug interventions, biofeedback, surgery, etc. But the therapeutic effects among the elderly are unsatisfactory, so refractory constipation is not rare. To further improve the treatment efficiency of the elderly CFC, we should individualize treatment regimens according to every patient, and positively apply domestic and international recommended processes of CFC to regulate therapy. Meanwhile, profound research should be carried out on how to treat CFC in the elderly. Multi-center, double-blind, randomized, placebo-controlled clinical trials should be used to re-evaluate the efficacy and safety of CFC treatment in the elderly, mainly about conventional therapies, traditional medicines (especially traditional Chinese herbs) and newly listed drugs, in order to practice evidence-based-medicine more effectively for the CFC treatment in the elderly.