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Objective  Age is sometimes a barrier for acceptance of patients into a hospital‐based obesity service. Our aim was to explore the effect of age on the ability to lose weight through lifestyle interventions, implemented within a hospital‐based obesity service.    Design  Retrospective study.    Patients  We included a cohort of randomly selected patients with morbid obesity ( n  = 242), who attended our hospital‐based obesity service during 2005‐2016 and received only lifestyle weight loss interventions.    Measurements  Primary outcome measures were percentage weight loss (%WL) and percentage reduction in body mass index (%rBMI) following implemented lifestyle interventions. Data were stratified according to patient age at referral: group 1 (age < 60 years,  n  = 167) and group 2 (age ≥ 60 years,  n  = 75). Weight loss was compared between groups, and correlations with age at referral were explored.    Results  The duration of hospital‐based weight loss interventions ranged between 1 and 143 months (mean: 38.9 months; SD: 32.3). Baseline BMI at referral differed significantly between groups 1 and 2 (49.7 kgm −2  [SD: 8.7] vs 46.9 kgm −2  [SD: 6.1], respectively;  P  < .05). Following implemented lifestyle interventions, between groups 1 and 2 there were no differences in %WL (6.9% [SD: 16.7] vs 7.3% [SD: 11.60], respectively;  P  = NS) or %rBMI (8.1% [SD: 14.9] vs 7.8% [SD: 11.7], respectively;  p  = NS). Overall, there was no significant correlation between patient age at referral and %WL (r = −.13,  p  = NS).    Conclusions  Older age does not influence the success of weight loss through the implementation of lifestyle modification within a hospital‐based obesity service. Therefore, age  per se  should not influence clinical decisions regarding acceptance of patients to hospital‐based obesity services.