Background: The incidence of intertrochanteric fractures has increased significantly during recent years due to the increase in life expectancy of the elderly population. Intertrochanteric fractures can be treated by either extramedullary dynamic hip screw (DHS) or intramedullary proximal femoral nailing (PFN). Present study was aimed to study short term outcome of PFN and DHS in cases of intertrochanteric fractures of femur. Material and Methods: This is a prospective study of 50 patients of intertrochanteric fracture, treated with proximal femoral nail and dynamic hip screw. Results: In our series of 50 patients, there were 22 female cases and 28 male cases. Minimum age was 20 years, maximum age was 88 years with mean age of 58.96 years. Most of the people were between 40 to 70 years of age. Right side was more common accounted for 54 %. Boyd and griffin type 2 fracture accounted for 86% of cases. Mean duration of hospital stay was 16 days in both proximal femoral nail and dynamic hip screw groups. Mean time of full weight bearing was 9 weeks for PFN and 13.8 weeks for DHS group. Good to excellent results were seen in 96 % of cases in PFN and 92 % of cases in DHS group. Conclusion: From the study, we consider PFN as better alternative to DHS in the treatment of intertrochanteric fractures but is technically difficult procedure and requires more expertise compared to DHS. With experience gained from each case, operative time, radiation exposure, blood loss and intra-operative complications can be reduced in cases of PFN.