【Objective】 To understand the current situation and influencing factors of health state utility value of the Tibetan elderly in Tibet Autonomous Region. 【Methods】 The multi-stage stratified cluster sampling method was used to recruit 1 690 elderly aged 60 and above from 7 cities of Tibet Autonomous Region as the research subjects. The general status of the elderly was investigated by questionnaire survey, and health utility value of the population was measured and computed by EuroQol Five Dimensions Questionnaire (EQ-5D-3L). The influencing factors were analyzed using Tobit regression model. 【Results】 The mean visual analogue scale (VAS) score of EQ-5D-3L and the mean health state utility value were 56.36±21.19 and 0.901±0.145, respectively. Those who were male, aged between 60 to 69 years, received middle school education and above, got married, were employed, had medical examination in the past year, and had no hypertension, rheumatoid arthritis or other chronic diseases had higher health state utility value and VAS score. 【Conclusion】 The mean health state utility value of Tibetan elderly aged 60 and above in Tibet Autonomous Region was higher than that of other regions in China, while the average score of self-assessment EQ-VAS was lower than that of other regions in China. The health state utility value was affected by gender, age, employment status, education level, living area, different medical examination status in the past year, and chronic disease status. In the future, the health care of the elderly who are aged 70 years and above, are female, have never been to school, live in rural areas, are unemployed, and have chronic diseases should be strengthened. Regular medical examination should be performed to identify health problems timely so as to improve the quality of life of the elderly.