When an old man in his 70s, 80s or 90s falls and fractures his hip, the pain is unbearable and the patient’s family is in a great hurry. Doctors often mention the need for surgery, but at such an old age, is surgery feasible? The risk of surgery is definitely greater than that of a young person because of the combination of cardiovascular and cerebrovascular diseases in elderly patients. But is there no risk without surgery? Of course not. We all know that life lies in movement, and the elderly are no exception. After a hip fracture, the local pain can be extremely painful, and even coughing can aggravate the pain; you cannot turn over and get down, so you have to stay in bed for a long time. What’s more, after being bedridden, various troubles will occur, including pain aggravating hypertension and heart disease, constipation and urinary tract infection due to unaccustomed to lying in bed for defecation, bed sores due to pressure on the hip, venous thrombosis due to inability to move the limbs, pneumonia due to inability to cough up sputum, malnutrition due to loss of appetite, etc. Finally, just like dominoes being pushed down, more and more troubles will occur, even leading to death. Both domestic and international literature has confirmed that the mortality rate of non-operative treatment of hip fractures is much higher than that of operative treatment. Patients over 80 years old (even 90 years old) who were treated surgically were afraid of surgery after the injury, but the pain made them decide to “die on the operating table”. In fact, by the second day after the surgery, their hips were pain-free and their problems of eating, drinking, and feeding were solved. At the same time, it is important to note that after a fracture occurs in an elderly person, it is not just a matter of dealing with an orthopedic problem, but also a matter of the doctor’s attention to the patient’s general condition and, if necessary, a consultation with a doctor from the relevant department to deal with the combined internal diseases, so as to improve the success rate of treatment.