A pair of good shoes can make the elderly full of confidence and health to the outdoors, improve the quality of life. Due to higher development costs, there are not many shoe lasts and shoes design for the elderly. This study was to investigate the physiological and common diseases of the feet of the elderly, analysis of commercial products, interviewing the living habits of the elderly and the demand for shoes, interviewing with footwear industry, ergonomics scholar, and 3D print engineer. After compile information on the demand for wearing shoes for the elderly, to study the characteristics of the shoes required for the elderly. Application of 3D printing related hardware and software technology, to make the lack of special elderly shoe lasts, to produce shoes with the needs of elderly people. The experience in the development of special shoe lasts, can provide industry, academia and custom design, for the footwear industry and the care industry to bring unlimited business opportunities.