我找到的最简单的方法就是这样。它适用于美国和西欧地区。无法与其他地区通话，尤其是中国这样的地方。在最初计算年龄后，最多可额外进行4次比较。

public int AgeInYears(DateTime birthDate, DateTime referenceDate)
{
  Debug.Assert(referenceDate >= birthDate, 
               "birth date must be on or prior to the reference date");

  DateTime birth = birthDate.Date;
  DateTime reference = referenceDate.Date;
  int years = (reference.Year - birth.Year);

  //
  // an offset of -1 is applied if the birth date has 
  // not yet occurred in the current year.
  //
  if (reference.Month > birth.Month);
  else if (reference.Month < birth.Month) 
    --years;
  else // in birth month
  {
    if (reference.Day < birth.Day)
      --years;
  }

  return years ;
}

我仔细查看了答案，发现没有人提及闰日出生的监管/法律影响。例如，根据维基百科，如果你在2月29日出生在不同的司法管辖区，你的非闰年生日会有所不同：

在英国和香港：这是一年中的第几天，所以第二天，3月1日是你的生日。在新西兰：这是前一天，2月28日用于驾驶执照，3月1日用于其他目的。台湾：今天是2月28日。

据我所知，在美国，法规对此事保持沉默，这取决于普通法以及各个监管机构如何在其法规中定义事物。

为此，需要改进：

public enum LeapDayRule
{
  OrdinalDay     = 1 ,
  LastDayOfMonth = 2 ,
}

static int ComputeAgeInYears(DateTime birth, DateTime reference, LeapYearBirthdayRule ruleInEffect)
{
  bool isLeapYearBirthday = CultureInfo.CurrentCulture.Calendar.IsLeapDay(birth.Year, birth.Month, birth.Day);
  DateTime cutoff;

  if (isLeapYearBirthday && !DateTime.IsLeapYear(reference.Year))
  {
    switch (ruleInEffect)
    {
      case LeapDayRule.OrdinalDay:
        cutoff = new DateTime(reference.Year, 1, 1)
                             .AddDays(birth.DayOfYear - 1);
        break;

      case LeapDayRule.LastDayOfMonth:
        cutoff = new DateTime(reference.Year, birth.Month, 1)
                             .AddMonths(1)
                             .AddDays(-1);
        break;

      default:
        throw new InvalidOperationException();
    }
  }
  else
  {
    cutoff = new DateTime(reference.Year, birth.Month, birth.Day);
  }

  int age = (reference.Year - birth.Year) + (reference >= cutoff ? 0 : -1);
  return age < 0 ? 0 : age;
}

需要注意的是，该代码假设：

西方（欧洲）对年龄的推算，以及一种日历，如公历，在月底插入一个闰日。

这很简单，似乎符合我的需要。我为闰年的目的做了一个假设，即无论一个人选择什么时候庆祝生日，从技术上讲，他们都不会比自己大一岁，直到他们的上一个生日过去365天（即2月28日不会使他们大一岁）。

DateTime now = DateTime.Today;
DateTime birthday = new DateTime(1991, 02, 03);//3rd feb

int age = now.Year - birthday.Year;

if (now.Month < birthday.Month || (now.Month == birthday.Month && now.Day < birthday.Day))//not had bday this year yet
  age--;

return age;

简单易懂的解决方案。

// Save today's date.
var today = DateTime.Today;

// Calculate the age.
var age = today.Year - birthdate.Year;

// Go back to the year in which the person was born in case of a leap year
if (birthdate.Date > today.AddYears(-age)) age--;

然而，这假设你在寻找西方的时代观念，而不是使用东亚的推算法。

这个解决方案怎么样？

static string CalcAge(DateTime birthDay)
{
    DateTime currentDate = DateTime.Now;         
    int approximateAge = currentDate.Year - birthDay.Year;
    int daysToNextBirthDay = (birthDay.Month * 30 + birthDay.Day) - 
        (currentDate.Month * 30 + currentDate.Day) ;

    if (approximateAge == 0 || approximateAge == 1)
    {                
        int month =  Math.Abs(daysToNextBirthDay / 30);
        int days = Math.Abs(daysToNextBirthDay % 30);

        if (month == 0)
            return "Your age is: " + daysToNextBirthDay + " days";

        return "Your age is: " + month + " months and " + days + " days"; ;
    }

    if (daysToNextBirthDay > 0)
        return "Your age is: " + --approximateAge + " Years";

    return "Your age is: " + approximateAge + " Years"; ;
}

TimeSpan diff = DateTime.Now - birthdayDateTime;
string age = String.Format("{0:%y} years, {0:%M} months, {0:%d}, days old", diff);

我不知道你到底希望它返回给你多少，所以我只是做了一个可读的字符串。

这里有一个解决方案。

DateTime dateOfBirth = new DateTime(2000, 4, 18);
DateTime currentDate = DateTime.Now;

int ageInYears = 0;
int ageInMonths = 0;
int ageInDays = 0;

ageInDays = currentDate.Day - dateOfBirth.Day;
ageInMonths = currentDate.Month - dateOfBirth.Month;
ageInYears = currentDate.Year - dateOfBirth.Year;

if (ageInDays < 0)
{
    ageInDays += DateTime.DaysInMonth(currentDate.Year, currentDate.Month);
    ageInMonths = ageInMonths--;

    if (ageInMonths < 0)
    {
        ageInMonths += 12;
        ageInYears--;
    }
}

if (ageInMonths < 0)
{
    ageInMonths += 12;
    ageInYears--;
}

Console.WriteLine("{0}, {1}, {2}", ageInYears, ageInMonths, ageInDays);