Due to consequences acetabular fractures leave, they occupy an important place in modern traumatology. Their treatment is a major challenge and dilemma for orthopedic surgeons. After diagnosis, the greatest controversy in the treatment of fractures is inthetreatment choice: operational or non-operational. Common indication for operative treatment is displacement of fragments more than 0.5 cm, incongruence between the femoral head and acetabular roof-arc. Non-operative treatment of fractures is conditioned by general health, age, occupation, low anterior column fractures and intra-articular step of less than 2mm. This prospective study includes acetabular fracture patients who were admitted in Hospital. Patients with Head or Neck of Femur Fractures, patients with prior Osteoarthritis, patients with prior Proximal Femur Pathology or abnormality were excluded from the study. Patients with acetabular fracture treated operatively or conservatively were evaluated using Harris Hip Score at regular follow-ups for every 1 month till 6 months and at the end of 1year. Out of these 35 patients, 13 of them were treated operatively, in which Kocher-Langenbeck approach was used in 8, Posterior approach in 4 and Anterior approach in 1 of the patients and the rest 22 patients were treated conservatively. Out of these 35 patients only 30 patients have completed their 1 year follow-up and 5 patients were lost to follow-up. The mean HHS, at the end of 1 year was 84.89. According to HHS, 14 patients showed excellent results, 4 patients showed good results, 9 patients showed fair results and 3 patients showed poor results. Excellent to good outcome can be expected in both operatively or conservatively treated fractures if the intra-articular step is less than 2mm and fracture not involving the dome. The reduction achieved, postoperative rehabilitation, infection or any other complications like secondary osteoarthritis, heterotopic ossification may determine the functional outcome in long term.