The aging of the population in North Macedonia is a big challenge. Life habits and satisfaction with health services are essential indicators for the evaluation of the situation. Objectives: The main objective of this study was to analyze some lifestyle habits and satisfaction with health services by the elderly in North Macedonia. Materials and Methods: A cross-sectional study was conducted in 36 urban areas. We received answers from 281 respondents over 65 years of age. The descriptive-statistical method was used for analyzing the results. Statistical analysis of data was done with the statistical software SPSS for Windows 26.0. The testing of the differences was done with the Chi-square test, Mann-Whitney U Test, Kruskal-Wallis test, Fisher Freeman Halton test and Spearman Rank order correlations. Values of p<0.05 were considered to be statistically significant. Results: There were 52 (18.05%) smokers, 22 (21.15%) were male and 30 (16.95%) female respondents. The average number of cigarettes smoked per day was 20.90±15.50 with no significant difference between genders and the three age categories. Most of the respondents had a visit to the family doctor for continuation of their therapy. No significant association was observed between respondents' gender/age category in terms of trust in the family doctor, adherence to the doctor's advice, and life satisfaction. Conclusion: The relevant authorities in our country should develop more comprehensive and social models of care for older adults, especially in rural areas such as prevention, long-term care, and palliative care.