Many health education institutions in Indonesia are starting the implementation of e-learning, but there are still many technical obstacles. The elements of e-learning that must be improved are relatively many, so it is neces-sary to choose which elements will be prioritized to handle first. This study proposes a new method for selecting elements that will be prioritized to be im-proved using Difficultness-Usefulness Pyramid with Weighting (DUP-We). The subjects were 200 students from the Environmental Health Department of Magetan, Health Polytechnic of Surabaya. The elements chosen were learning design, handouts, books, links to resources, discussion forums, chat, assignment, feedback, quizzes and surveys. The attributes that were used as the basis for determining priorities are difficultness and usefulness. Weighting (1 to 10) is based on the importance of each attribute. Data about attributes and weighting are obtained through filling in questionnaires. For each element a determination is made: 1) weightless difficultness (difficultness x weight) and weighted usefulness (usefullness x weight); 2) weighted average difficultness and weighted usefulness mean; 3) Range (mean difficultness average weighted up to weighted usefulness mean). Furthermore, the range is sorted from the smallest and described in the form of a pyramid. The pyramid shows that the order of elements based on priority is assignment, quiz, feedback, discussion, link to resources, book, survey, learning design, handout and chat.