Background & Objective : Difficulties associated with feeding and swallowing in cases of dementia have increased rapidly. Percutaneous endoscopic gastrostomy (PEG) has been performed in dementia patients in Japan. However, recently, there have been controversies about PEG nutrition in cases of elderly patients with dementia. Subjects & Methods : Twenty-nine elderly patients with dementia underwent PEG at our facility ; the average age of the patients was 81.8 years. After PEG, short-and long-term follow-ups were conducted by administering questionnaires to the patients' families by mail, interview, or telephone. Results : Responses received for the short-term follow-up questionnaire revealed that families of 27 patients (93%) were satisfied with PEG tube placement ; 2 NG patients died 3 months after PEG. Responses received for the long-term follow-up questionnaire revealed that 17 of 19 patients died at an average time of 3 years and 2 months after PEG. All families said that they were happy that the patients' deaths were from natural causes. The families of the 2 survivors said that they were presented joyful times at the meeting. Conclusion : PEG nutrition for elderly dementia patients in a geriatric health services facility is a useful and valuable means to achieve satisfaction of patients' families. The author offer to choose PEG nutrition even if for elderly dementia.