Objective To develop a full-sequence postoperative rehabilitation risk assessment system for elderly patients with hip fracture in China, in order to provide a basis for improving the safety of postoperative rehabilitation activities. Methods Through literature analysis and semi-structured interviews, a full-sequence postoperative rehabilitation risk assessment system for elderly patients with hip fracture was preliminarily developed. The Delphi expert consultation method was then employed, involving two rounds of expert consultations with 30 experts, to finalize the index system and determine the weight of each indicator. Results The effective questionnaire response rates for both rounds of expert consultation were 100.00%, the expert authority coefficient was 0.94. The Kendall′s coefficients of concordance were 0.368 and 0.442, respectively (both P<0.05). The constructed full-sequence posto-perative rehabilitation risk assessment system for elderly patients with hip fracture contained 7 primary indicators and 63 secondary indicators. Conclusion The full-sequence postoperative rehabilitation risk assessment system for elderly patients with hip fracture constructed in this study is scientific and reliable, which can provide reference for assessing postoperative rehabilitation risk of elderly patients with hip fracture and taking targeted intervention measures.