This study established a lower garment sizing system for elderly men over 65 years of age based on 535 males selected from the 5th Korean Anthropometric survey. The results are as follows. Most elderly men body measurements were smaller for adult males (except for the waist area); however, abdominal obesity has changed to body type. The standard deviation was applied around the average values of waist circumference and hip circumference for the suggestion of a lower garment sizing system for elderly men. The interval between the designation was ±2.5 cm with an average waist circumference of 86 cm and ±2 cm with an average hip circumference of 92 cm. A total of 13 designation sections were established in consideration of the cover ratio and cover efficiency. The cover ratio in the 13 nominal sections was 77.2%. The segmental distribution rate presented in the results will also be useful for production planning in specific sizes and enable rational production.