The study aimed to assess the balcony design in elderly housing, contributing factors and the association between existing balcony features and the needs of elderly people. Kurnool district of Andhra Pradesh was selected for the study. The elderly women (n=60) aged sixty and above were the criteria for the selection of the sample. The guidelines for designing balconies in elderly housing served as a base for identifying the features of the existing balcony of the house. An interview cum observation schedule was designed for collecting information about the existing balcony conditions and needs of the respondents. Most of the respondents belongs to good financial status to afford good housing to live comfortably. The results revealed that there is an association between the existing balcony design and the needs of the respondents. No standard design guidelines were adopted when balconies were designed. Most of the balconies were designed based on the availability of space. The elderly felt essential to have balconies with a clear width of 5 feet and a total area of 50-60 square feet in their housing. The elderly felt essential to have balconies with sufficient area and with the provision of railings or balustrades at the proper height. The variables of the study i.e., family monthly income and type of the house had no influence on the adoption of standard design guidelines while planning balcony design.