Cancer can cause many problems in all family, economic, social, psychological, and physical dimensions for the elderly. The present research was conducted to examine the supportive care requirements of the elderly with cancer. In this descriptive-analytical study, a total of 248 elderly (144 men and 104 women) with an average age of 67.17 ± 6.94 years with cancer were referred to Seirei Mikatahara General Hospital, Japan, using non-probability and available sampling in 2023. The data collection tool includes a reliable and valid supportive care requirements survey of cancer patients, which has five areas of daily functioning and physical needs of the health system and support information and care of sexual and mental patients. Based on the obtained results, a statistically significant relationship was reported between the physical areas and the daily performance of the sexual area of support and care and the information and health system with gender (P<0.05). Elderly women needed more help in daily and physical functioning and elderly men in the areas of support and care, sex, health system, and information. The conclusion of this study stated that the unmet needs of the elderly with cancer are high, especially in the physical and daily performance areas.