Objective: To investigate the efficacy of ventricle mirror and laparoscopic auxiliary ventricular peritoneal shunt in treatment of elderly hydrocephalus. Methods: 90 cases of elderly hydrocephalus were selected from our hospital,they were divided into A,B, C three groups according to a random number table, with 30 cases in each group, the patients of the group A were given traditional ventricular peritoneal shunt, the patients of the group B were given ventricle peritoneal shunt assisted laparoscopic, the patients of the group C were given ventricle ventricular peritoneal shunt integrated mirror and laparoscopic-assisted treatment, efficiency and postoperative of three groups were compared. Results: The efficiency of the group C was 90.0%, significantly higher than the 63.3% in group A and 76.7% in group B, the difference was statistically significant(all P<0.05); Postoperative infection and complication rates shunt tube blockage of the group C was significantly less than those of group A(all P<0.05); Parenchymal hemorrhage of group B and the group C were significantly less than group A, the difference was statistically significant compared with group A(all P<0.05). Conclusion: laparoscopic-assisted Ventricle ventricular peritoneal shunt integrated mirror had significant effect and low postoperative complications in treatment of elderly hydrocephalus. It is worth of popularization. [ABSTRACT FROM AUTHOR]