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To evaluate the current status of forest health and consumption of the elderly, this work used the questionnaire survey method to collect 587 valid questionnaires about the status of forest health and consumption of the elderly in the capital cities of the three northeastern provinces. This work constructs an importance performance analysis (IPA) quartile and factor analysis satisfaction evaluation system by processing the satisfaction and importance distribution data of the three dimensions of infrastructure, leisure and entertainment, and medical rehabilitation. First, this work extracts four common satisfaction factors based on factor analysis. They are satisfaction of forest characteristic physiotherapy entertainment project, satisfaction of forest rehabilitation basic service project, satisfaction of forest rehabilitation infrastructure construction project, and satisfaction of forest health culture consumption project. Secondly, by calculating the factor scores, it can be found that the forest health consumption satisfaction of the elderly population in the three northeastern provinces is the highest in Shenyang, followed by the Northeast, Harbin is slightly lower than the Northeast, and Changchun is the lowest. At present, the elderly population in the capital cities of the three northeastern provinces is relatively satisfied with the supply of forest sanitation services, and only Shenyang has a driving effect on the comprehensive satisfaction of the capital cities in the three northeastern provinces. It was found that Shenyang's satisfaction with forest characteristic physiotherapy and entertainment projects and forest health cultural consumption projects and Harbin's satisfaction with forest reclamation basic service projects and forest reclamation infrastructure construction projects have positive effects on forest reclamation infrastructure construction projects of the three provincial capital cities in Northeast China. However, Changchun City showed opposite effects on the four satisfaction factors. Finally, based on the in-depth analysis of the conclusions, this work puts forward suggestions for the development of the forest health industry and its aging market in the three northeastern provinces. [ABSTRACT FROM AUTHOR]