This study analyzed the differences of the sex-role attitude, communication, and marital satisfaction according to a demographic factors as well as analyzed the relationship of the effects on sex-role attitude(sex-role awareness, sex-capacity awareness), communication(close relationship, exclusive relationship, passive relationship), and marital satisfaction of elderly couples. The survey was conducted from June 20 to July 30, 2012 among the elderly couples aged 60 or older in the Gyeonggi-do areas, and 378 responses were used in the data analysis. The statistical analysis methods were frequency analysis, reliability analysis, t-test, ANOVA, and hierarchical regression analysis. As a results, there were partially differences in the sex-role attitude, communication, and marital satisfaction. The sex-role awareness and sex-capacity awareness had a positive impact on close relationship and passive relationship of the communication. But the sex-capacity awareness had a negative impact on exclusive relationship of the communication. In addition, The sex-role awareness and close relationship had a positive impact on marital satisfaction, but exclusive relationship and passive relationship had a negative impact on marital satisfaction of elderly couples.