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This study examines the effects of leisure time and leisure companions on life satisfaction of retired elderly couples over the age of 65 by using the 2019 Korean Time Use Survey. The elderly men and women have unique characteristics accumulated with different conditions throughout their lives, but empirical research using the Korean Time Use Survey is insufficient in Korea. Therefore, this study analyzes the gender differences in leisure time, leisure companions, and life satisfaction, targeting elderly couples. First, men spend more on leisure time than women, and the time for ¡®media¡¯, ¡®sports¡¯, and ¡®game¡¯ showed significant gender differences. Only women showed a significant relationship between ¡®social activity¡¯, ¡®cultural tourism activity¡¯, and ¡®other leisure activity¡¯ and life satisfaction. Second, the time spent on leisure with ¡®family other than spouse¡¯ had an effect on women. This study attempted to show that gender can affect the relationship between leisure time and life satisfaction, and can also affect the aspects of adaptation to changed daily life and social relationships.