Background: Quality of life (QoL) is essential for maintaining a healthy, balanced lifestyle, especially among elderly people with common chronic diseases. Saudi Arabia (SA) launched a health sector transformation program as part of the nationwide Vision 2030 initiative to ensure the sustainable development of efficient healthcare services, aiming to improve health by increasing well-being and quality of life. More investigation into the current status of health of elderly people with chronic diseases services provided to elderly people and future needs to optimize services and improve quality of life is needed. This was narratively discussed by experts from different health of elderly people services in Saudi Arabia. Comprehensive health of elderly people services including orthopedic, occupational, cardiac, pulmonary, critical care, perioperative, hearing and speech, disorders, and vocational . Health Quality of Life for elderly people services in Saudi Arabia, as in other countries, are suboptimal for elderly people in health programs. To optimize the quality of life of elderly people with chronic diseases, health Quality of Life for elderly services should be tailored based on the unique requirements of each service and its serving patients. Aim of the study: To assessment the effect of Health Quality of Life for elderly people with Common Chronic Diseases in Patients Attending Primary Health Care Centers at Saudi Arabia 2022. Method: This cross-sectional study was carried out on 300 elderly people with age ≥ 60 years. Quality of life was assessed using Arabic translation of WHO Quality of Life-Brief (WHOQOL) questionnaire. Screening of cardiac diseases and depression was done using Framingham and PHQ-2 questionnaires, respectively. Results: In our study showed that the majority of participants (51.0%) were within the age group 70-80 years regarding work more than half of the participants (68.0%) were not working while work were (32.0%), regarding the family caregiver the most of participant answer Yes were (82.0%) while No were (18.0%) , Conclusion: should be given the health quality of Life for elderly people care, and healthy lifestyle behaviors to enhance health-related quality of life in elderly people with chronic illness. elderly people-specific health services and interventions are needed to improve elderly people health with Chronic Diseases.