This research explores how the elderly spend their leisure and its related welfare programs. It analyzes welfare service for the elderly, patterns of how the elderly use their leisure and how these welfare programs relate to the leisure of Korean elderlies. Leisure program for the elderly in physical health, mental health and social health were considered. However, these programs were not professionally and systematically developed. Therefore, it recommends a new formulation for the development of leisure programs for the elderly in social welfare service. In 2007, when the WHO opened an executive forum on physical, psychological, social health, it added to the list spiritual health. It passed specific resolutions about them and in late 2007, it communicated to the Ministry of Health and Welfare its decisions. We can conclude from these actions that within the bounds of health concerns that the WHO involves itself with is spiritual health. Fundamentally, in order for us to maintain physical, spiritual and social health, we must also now consider the fact that human existence necessarily implies spiritual existence. Therefore, we must now pay more attention to the nature of spiritual health.