Aim. To analyze the change over time in the mortality level, mortality reasons and age and sex related features in urban population of elderly (elder than 60 years) people in 2001-2010 using the data of Republican medical informational and analytical centre of the Healthcare Ministry of the Republic of Tatarstan. Methods. Logical and systemic analysis, statistical grouping, comparative method were used. Results. During the studied period, men had 1.5 times higher level of mortality compared to women. There was an 4.7% increase in overall mortality rate (males - 4.6%, females - 5.1%). The leading reason for death were cardiovascular diseases, with malignancies and external factors on the second and third place. Since 2008, respiratopy diseases had occupied the third position for the leading reasons for death in men, gastrointestinal diseases - in women. The increase in overall mortality rate was due to people over 80 years, there was a reliable trend for mortality rate reduction in other groups. The mortality associated with gastrointestinal diseases has increased. Conclusion. The observed mortality trends require to draw a special attention to the problems of the oldest population; more detailed analysis, detection of the exact reasons and efforts to decrease the mortality associated with gastrointestinal (in men) and respiratory (in women) diseases are the principal tasks.