According to Turkey Demographic and Health Survey 2013; the proportion of the elderly (aged 65 and over) to general population was nearly 7.9%; which demonstrates that with a nearly five million elderly population, Turkiye will have exceeded total population of some countries by 2050. With old age, the prevalence of the chronic diseases increases and particularly cardiovascular diseases stand out as the leading mortality causes. Concordantly; increasing number of elderly patients has today been receiving heart surgeries. Surgical intervention is a critical period due to patients' reduced stress response, physiological changes in relation with age, chronic diseases and the medications used. Therefore; it is necessary that a multidisciplinary approach should be employed in order to prevent post-operative complications, to reduce mortality and morbidity and to enhance quality of life. As a part of the health care team, nurse should be aware that the elderly population makes up a special group and they have special needs and should plan nursing care accordingly. With the current article, we aim at revising the significance of pre-operative preparation of the patients and the importance of correct nursing care to be provided to prevent post-operative complications among the elderly patients to receive heart surgeries.