Aim: This study aimed to assess functional outcomes in geriatric patients following hip fracture surgery and to identify key demographic, clinical, and surgical factors influencing recovery trajectories. Material and Methods: This was an observational, prospective cohort study conducted over one year in the Orthopedic Department. A total of 100 geriatric patients aged ≥65 years who underwent hip fracture surgery were included using purposive sampling. Data were collected using demographic questionnaires, the Modified Barthel Index (MBI), Timed Up and Go Test (TUG), Harris Hip Score (HHS), and Visual Analog Scale (VAS). Radiological evaluations and complication tracking were performed during follow-ups at 1 month, 3 months, and 6 months. Statistical analysis was conducted using SPSS version 25.0, with significance set at p<0.05. Results: The majority of participants were aged 65–74 years (45%) and female (62%). Surgical procedures included hemiarthroplasty (45%), total hip arthroplasty (35%), and internal fixation (20%). Functional scores improved significantly over time, with MBI increasing from 45.5 ± 12.3 at baseline to 85.4 ± 9.6 at 6 months, TUG improving from 28.4 ± 5.5 to 16.7 ± 3.4 seconds, and HHS rising from 45.2 ± 7.5 to 85.3 ± 6.5. Pain levels decreased steadily. Radiological assessments showed 95% correct implant positioning and 95% fracture healing by 6 months. Complications included surgical site infections (5%), delayed healing (7%), and deep vein thrombosis (4%). Age, BMI, time to surgery, and hospital stay were identified as significant predictors of functional recovery. Conclusion: This study emphasizes the importance of early surgical intervention, optimal hospital stay, and comprehensive rehabilitation in improving postoperative functional outcomes in geriatric patients. A multidisciplinary approach remains essential for addressing clinical and functional needs, reducing complications, and enhancing overall recovery.