Objective: Aging is one of the critical and growing stages in Iran. Falling is one of the most common problems in this period that leads to mobility, social limitations and even death. To increase the awareness and prevent secondary hazards due to falls, this study was conducted as a review article aiming the prevalence of falls based on evidence and related factors in Iranian elderly. Materials & Methods: In this study, the Prism method includes research published from 2008 to 2018 focusing on the prevalence of falls based on evidence and related factors in the Iranian elderly and the keywords prevalence, falls, falls-related factors, the elderly In the scientific database of PubMed and Scopus, Google Scholar, SID, Magiran, Irandoc. After reviewing the studies, 394 articles were obtained and finally, by reviewing the abstracts, 14 articles were selected. Results: The results of Iranian studies were reported very differently. There was a significant relationship between aging, marriage, education, neurological diseases, painkillers, and home safety. Conclusion: The findings of this review study show an increase in the frequency of falls in the Iranian elderly that it is worthwhile to consider one of the health policies in this period of life to prevent and reduce the causes of falls at this age to reduce costs. Reduce the health caused by fall related injuries. Since prevention and education programs are not implemented in the elderly, the results of this study can help identify the importance of treatment costs and the harmful status.