BACKGROUNDHip fractures are a major cause of morbidity and mortality in elderly population. 1 Incidence of fragility fractures is increasing in Asia and in India. 2,3 There is a significant variation in incidence of hip fractures in different regions of a country and among different socioeconomic status. 4,5 MATERIALS AND METHODSThe present study evaluates retrospectively the type of hip fractures, age, sex distribution, type of surgery, stay in hospital, side of injury, medical illness, associated injuries, cause of death, complications among 1181 patients admitted in Goa Medical College during the year 2011 -2015. RESULTSAs per the inclusion criteria, 966 patients were included in the study; 36.02% were males and 62.98% were females; mean age of 73.10% with 45.5% within 60 -70 years of age. There were 496 left-and 470 right-sided cases; 58.48% were intertrochanteric fractures and 28.67% neck of femur, subtrochanteric 8.0% and basicervical 2.98%; 561 patients underwent DHS fixation, 259 hemiarthroplasty, 40 PFN and 44 others like DCS, THR, trochanteric buttress plate; 44.9% patients required preoperative transfusion, 20.5% postop. Duration of stay was average 11.65 days; 50.7% cases postop stay was less than 3 days. Uncontrolled DM and patients on anticoagulants were the main cause of delay in surgery in many patients. Only 138 (15.2%) patients were without medical co-morbidities. There were 62 cases of death with 26 males and 36 females. Mean age of 76.5. Of the 62 death, 19 (30.6%) occurred within 48 hours of admission; 65% patients had acute events that led to the death like ACS, CVA, RS failure, SCD and pulmonary embolism. CONCLUSIONThere is a need for treatment of hip fractures on urgent basis on admission, i.e. within 36 hours and need for orthogeriatrics in perioperative care. There is also a need for national level hip fracture management programme and hip fracture registry standardise and to monitor the quality of care.