PurposeThis study aims to integrate fall-protection function into the elderly clothing to meet both the daily life and fall-protection needs of the elderly people, thereby upgrading the performance of elderly clothing.Design/methodology/approachThis study identified the design strategies of elderly clothing using an Extended Kansei Engineering methodology. Extended Kansei Engineering methodology is a new design framework developed from the traditional Kansei Engineering methodology to meet the design requirements of the product-service system. This study focuses on the product section of product-service system design. According to the product design process of the Extended Kansei Engineering methodology, this study first collected and organized the design elements and Kansei words of elderly clothing. Then a questionnaire was designed using Semantic Differential Scale. Finally, the questionnaire survey was conducted and the collected data was analysed to understand the consumption preferences of elderly people. A total of 399 elderly people aged 65 and older provided valuable design insights for this survey.FindingsThe research findings include the product design strategies for the development of elderly clothing, as well as a product prototype canvas and a product prototype elderly clothing developed based on the design strategies.Practical implicationsThe research findings can provide competitive design strategies for the development of elderly clothing, thereby upgrading the performance of elderly clothing.Social implicationsThis elderly clothing integrates fall-protection function to reduce the risk of injury for elderly people due to falls, thereby helping society alleviate the medical and healthcare pressure caused by falls for elderly people.Originality/valueThe research findings can provide competitive design strategies for the development of elderly clothing. Furthermore, the Extended Kansei Engineering methodology introduced in this study can provide product and service designers with design methods that are more in line with the development trend of modern product-service system business models.