Objective Objective To investigate the cognitive status of osteoporosis(OP)patients in Xizang.Methods 302 OP patients treated in our hospital from January 2020 to April 2022 were selected as the investigation objects.The general questionnaire and the Osteoporosis Knowledge Assessment Questionnaire(OKAQ)were used for the investigation.Results 95.36%of OP were unknown or partially known,and the total score of OKAQ and all dimensions were low.The total score of OKAQ and the scores of all dimensions of Han nationality were significantly higher than those of Tibetan nationality(P<0.001).The scores of OKAQ were different in different educational levels,and the difference was statistically significant(P<0.001 for all).Conclusion The aware-ness of OP is insufficient in OP patients in Xizang.Ethnic and educational level are the influencing factors of OP awareness.Health education of osteoporosis should be strengthened.