Background: scaphoid waist fractures can be fixed percutaneously as opposed to being cast-immobilized Evaluation of the results of patients with stable waist scaphoid fractures following percutaneous fixation with a Herbert screw or cast immobilisation. Methods: A total of 30 patients, age from 19 to 60, were included in this prospective study at the orthopaedic department's hand and microsurgery unit at Sohag University Hospital. The extent of mobility, the strength of the grasp, the ability to return to work, and the radiological assessment were checked. Results: Follow up were 12 months. Patients who received volar percutaneous fixation experienced an earlier union than those who had conservative treatment with a cast. Conclusion: An earlier time to union, a rapid return to daily activities, and an earlier wrist motion recovery were all made possible by percutaneous treatment of acute stable waist scaphoid fractures. Compared to the operative group, the conservative group has a greater nonunion rate.