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Background: A personal review of the meaning in life can be important for sorting out the integrity of life for the elderly in long-term care facilities. Interactions, actions and responses through horticultural activities may trigger elderly to review the meaning of aspects of their lives during the process of participation. Purpose: The study aimed to examine whether participation in horticultural activities can promote a review of the meaning in life among elderly residents in long-term care facilities, and affirm their own experiences and efforts in the course of their life. Methods: Using convenient sampling, this qualitative research study recruited and interviewed nine participants from long-term care facilities in northeastern Taiwan. The interview content was analyzed with a phenomenological approach. Results: Of nine participants, six were female and three were male, with a mean age of 81.76 ( SD = 8.47). Four major themes emerged: (1) reviews of meaningful events in life experiences; (2) to be able to live well during the process of getting older; (3) the value of cooperation; (4) elderly still have the ability and responsibility to take care of others. Conclusions: Our findings provide evidence-based information about the effects of horticulture therapy on promoting review of the meaning in life among elderly in the long-term care facilities. [ABSTRACT FROM AUTHOR]