Elective may refer to:

• Choice, the mental process of judging the merits of multiple options and selecting one of them
• Elective course in education
  • Elective (medical), a period of study forming part of a medical degree
• In medical procedures, planned interventions, as opposed to emergency care
  • Elective surgery
• An adjective for election
  • Elective monarchy, a monarchy ruled by an elected monarch, in contrast to a hereditary monarchy