Abstract This study investigates the living conditions of elderly individuals with urinary incontinence and their usage of related products to assess their actual needs, including comfort, convenience, and affordability. Based on these findings, innovative design work was conducted, involving structural design, fabric preparation, and process selection. Ultimately, through product performance evaluation and refinement, the design requirements for comfort, convenience, and affordability were achieved. This research holds significant importance in addressing urinary incontinence issues among the elderly and can be applicable to individuals with restricted access to toilets or those engaged in prolonged activities. Furthermore, the study provides a valuable reference for designing and developing functional garments that cater to practical needs. With further production and market promotion, this research outcome is expected to yield greater value and impact on a larger scale.