Abstract : Primary care physicians’’ ability to identify the high-risk elderly can help reduce the burden of falls among elderly. This study aimed to assess the knowledge and practice of falls among elderly in Qassim, Saudi Arabia. A cross sectional study was conducted among primary health care physicians. Data were collected using a semi-structured questionnaire. Questionnaire assesses the level of knowledge and practices regarding falls among elderly. A total of 97 participants were included in the study. Mean age was 29.0 years (SD = 3.26). Majority (91.8%) were Saudi nationals. Regarding the knowledge about risk factors, 34.0% of the participants did not identify any risk factors. The most often mentioned risk factors were environmental factors (30.0%). Thirty-nine percent of individuals did not name any preventive. On a scale from 1 to 10, the participants' self-rated knowledge score had a mean of 4.73 (SD = 2.01). Only 19.6% of the participants used the MORSE Fall Assessment instrument. About 15.5% of respondents said they almost never or never inquire about a history of falls. Practice of offering intervention to address fall risk factors, 25.8% said they never or nearly never did so, while 48.5% said they did it occasionally. These findings can be used to guide interventions and training initiatives that aim to improve primary care physicians' skill sets in preventing falls among the elderly. Further research is also needed to assess the effectiveness of physicians training programs.