The rural area is an important front for responding to the problem of population aging. In recent years，the degree of population aging in Henan has deepened，and the acceleration is more obvious than the whole country. The old-age dependency rate is rising，and the problem of empty nesting has become increasingly prominent. The rural elderly population has a large scale and the aging degree is higher than that in the urban areas. The main results of the typical experience of rural pension work in Henan are summarized，and the low level of pension service supply is analyzed. Summarizing the practices，typical experiences and main results of the elderly care work in Henan rural areas. This paper analyzes four major issues of low supply level of pension service，insufficient fund guarantee，lack of employees and relatively high elderly care costs，and puts forward five thoughts and countermeasures：It is based on the premise of in-depth study on the development trend of population aging. It is a breakthrough to innovate elderly service models and foster new business formats. To improve the quality of elderly care services as the guide. To increase capital and talent investment as the starting point. To improve pension policies and regulations as a guarantee.