Purpose: The purpose of this study was to test the effect of pleasant guided imagery on the vital signs of elderly. Method: The subjects of this study were 15 elderly women. Collecting data were blood pressure, pulse rate, body temperature, the degree of imagination and relaxation. Data were analyzed using SPSS PC+ program with percentage, paired t-test, Result: After practicing of pleasant guided imagery, systolic blood pressure and pulse rate were significantly lowered than before practicing of pleasant guided imagery. After practicing of pleasant guided imagery, Diastolic blood pressure and body temperature were not significantly changed. After practicing of pleasant guided imagery, the degree of imagination and relaxation were relatively higher in old women. Conclusion: Pleasant guided imagery can be used for elderly patients with hypertension. And it can be used to promote relaxation of elderly with stress.