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Introduction : To study improvement of life satisfaction and social activity outcomes in elderly patients with cochlear implants. Methods : A mail survey was conducted using an anonymous self reported questionnaire of cochlear implantation surgery facilities and people with hearing disabilities in Japan. Result : A total of 75 cochlear implant users aged 65 years old or over. Subjects reported postoperative hearing improvement with about 80 of daily conversations with familiar people speech language hearing therapist and family members . In regard to improvement in life satisfaction, more than half of the users reported improvement in their health views and life satisfaction. In regard to im-