Relevance. self-assessment allows you to assess the state of health and health-related aspects considering physical, psychological, and social factors, which corresponds to the WHO definition of health. Self-assessment of health reflects people's subjective aggregate perception of their health, is a mandatory component of comprehensive medical care implemented based on a biopsychosocial approach. Objective: to study the acceptability of self-assessment of health status and health-related aspects in elderly and senile people. Materials and methods: the analysis of articles published in journals included in the abstract databases Scopus, Web of Science, PubMed, Cochrane, Medline, Medical-Science. The search was conducted by keywords: self-assessment, self-reports, elderly, aging, senile age. Results. Self-assessment of health in the elderly and senile is similar to the clinical assessment of doctors, and is also a strong indicator of general health, and morbidity, physical functioning, use of medical services and mortality. Self-assessment is used to measure mental health, oral health, memory, functioning, detection of early cognitive impairment, eating behavior, risk of osteoporotic compression fractures of the vertebrae, risk of falling, weakness, hearing loss, detection, and control of diabetes. The advantage of self-assessment tools is the ease, simplicity and speed of collecting information, attracting a small number of resources for conducting surveys. The objectivity of the self-assessment of the elderly is influenced by many factors: age, gender, ethnicity, level of education, income, cultural features, social security level, physical activity, prosthetics of teeth, frequency of chronic diseases, the phenomenon of social desirability, linguistic differences, area of assessment. Conclusions. Tools for self-assessment of health status and related aspects are widely used in geriatrics. Various personal and social factors have a special influence on the results of self-assessment of the elderly and senile people. In order to maximize the objectivity of self-esteem in older people, their adaptation to this age category and intercultural adaptation is necessary.