This study was done to examine the reality of sexual life and ego-integrity among elderly people. Method: The participants in this study were 206 adults aged 65 years or over, attending senior centers or senior schools located in C area. Data were collected during November and December 2007. All participants were surveyed about their sexual life and ego-integrity. Frequencies, means, chi-square test, t-test and one-way ANOVA with SPSS Win were used for data analysis. Results: There were significant differences in ego-integrity scores based on whether a sexually active life was maintained or not. Of the 206 elders, 68.9% reported maintenance of their sexual life. Spouses were sex partners for 85.2% of them. The mean ego-integrity score was 105.87 (range: 67-142). Ego-integrity showed significant differences based on satisfaction with past sexual life experience (F=4.995, p=.002), present sexual activity (t=3.298, p<.000), types of sexual partners (F=3.559, p=.031), and satisfaction with present sexual life (F=3.643, p=.007). Conclusion: The significant correlation found between sexual life and ego-integrity suggests the need to develop and apply programs that will encourage healthier sexual lives for elderly people.