Abstract: Objective To analyze medical expenditure and its influecing factors in rural residents of Beijing suburbs in 2008 for policy making of medical service deparmtents.Methods Information was obtained by questionnaire which was collected from rural residents in Beijing suburbs.Results Two week prevalence rate of all diseases was 183.3‰ and two-week hospital visitrate was 112.2‰ with an annual medical expenses of 798.01 Yuan RMB per resident.The survey revealed that the annualmedical expensesper resident was impacted by many factors such as income,education level,medical security,structure of a family.Conclusion The medical condition of rural resident in Beijing suburbs has been improved greatly.However,the medical burden is still heavy.In general,the New Rural Cooperative Medical System is welcomed by residents.Health service in rural area should be strengthened.