Introduction: Anesthesia is given to millions of patients every year in relation with wide range of medical, surgical and obstetric procedures. Appropriate patient position will aid in the proper physiologic function during pathophysiologic processes and provide the access to certain anatomical locations during surgical procedures. Multiple factors have to be taken into account when choosing the patient's position. These factors like patient age, weight, and past medical history, including respiratory, circulatory disorders has to be considered. Aim of this study is to compare Pericapsular nerve group block with Fascia iliaca block for preoperative patient positioning in hip fracture surgery using Visual analog score and also to compare hemodynamic parameters. Methodology: The study was designed as the double-blinded Randomized controlled trial and was conducted in the Department of Anesthesiology. The study was conducted in patients posted for hip fracture surgery under Neuraxial blockade in 56 patients. Group P – Patients who recieved pericapsular nerve group block (PENG BLOCK) Group F - Patients who received FASCIA ILIACA BLOCK. Each group had 28 patients. Numerical Rating Scale (NRS) and Visual Analog Scale (VAS) were used for assessing the pain. Hemodynamic Parameters-HR, SPO2, SBP, DBP, MAP before administration of central neuraxial block were also analyzed. Results: Our study showed that the difference between the two groups in VAS score at after block and after positioning was found to be statistically significant. About 42.9% of the participants who received the Fascia Iliac block were in grade 3, followed by grade 2 (32.1%), then grade 1 and grade 4. About 78.6% of those given PENG block are in grade 1, followed by grade 2 (14.3%), grade 3 (7.1%). No patient showed grade 4 VAS. The difference between the two groups in no of attempts was not statistically significant. The difference between the two groups in terms of ease of spinal position was statistically significant. Hemodynamic parameters were better in PENG block. Conclusion: The study was conducted to compare the efficacy of ultrasound guided PENG block and Fascia Iliac block in patients with hip fractures posted for surgery. The study result showed that PENG block was effective than the other group in terms of improved pain score assessed by means of VAS and better hemodynamic profile compared to fascia iliaca group.