Aim: To determine the outcome of Early Surgical treatment in geriatric individuals with hip fractures who presented to the Emergency Department. Materials and Methods: The primary aim of the study was to observe and analyze post-operative complications, recovery, and rehabilitation outcomes in elderly patients undergoing hip fracture surgery. The study included a cohort of 80 patients selected based on specific criteria. The inclusion criteria required patients to be between 65 and 90 years old and to have sustained a hip fracture necessitating surgical intervention. Exclusion criteria ruled out patients with multiple traumatic injuries, pre-existing chronic infections, or those who had undergone previous hip surgeries. Results: Post-operative complications were categorized into various types: 6.25% of patients developed infections, 12.5% experienced cardiovascular issues, 10% had respiratory problems, 7.5% had renal concerns, 5% had neurological disturbances, and 3.75% encountered gastrointestinal issues. Notably, 55% of the patients had no complications post-surgery. Functional recovery was assessed using the Harris Hip Score. The results were as follows: 25% of patients achieved an excellent score (90-100), 43.75% had a good score (80-89), 18.75% had a fair score (70-79), and 12.5% had a poor score (<70). These results show that the majority of patients (68.75%) experienced good to excellent functional recovery post-surgery, reflecting effective surgical and rehabilitative care.The mean scores across different domains were: Physical Functioning (65 ± 15), Role Physical (70 ± 20), Bodily Pain (60 ± 25), General Health (75 ± 10), Vitality (70 ± 15), Social Functioning (80 ± 10), Role Emotional (72 ± 18), and Mental Health (78 ± 12). Conclusion: The findings underscore the importance of comprehensive perioperative care to manage complications and enhance recovery outcomes in this vulnerable patient population. The results support the efficacy of total hip replacement and internal fixation surgeries in achieving favorable functional recovery and quality of life in elderly patients.