A telephone survey was conducted among newly contracted residents in April 2017 in N city using a self?made questionnaire. This study focused on 9 362 elderly people， in order to analyze the difference of the awareness and utilization of family doctor contract service between elderly people in urban and suburban areas in N city. The results showed that controlling other demographic factor， the awareness rate of signing with a family doctor for the elderly in suburbs was 1.467 times that in urban areas， the awareness rate of service content in suburbs was 1.717 times that in urban areas， and the average number of services utilized per capita for the elderly in suburbs was 0.630 more than that in urban areas， all of which had statistical significance. There were difference of the awareness and utilization of family doctor contract service between elderly people in urban and suburban areas. Further work should be done to strengthen family doctor service in practice.