Aim:To compare double vs. single fluoroscopy for fixing supracondylar humerus fractures in children.Methodology:Sixty- two children with supracondylar humerus fractures of either gender were randomly divided into 2 groups of 31 each. Group I patients were managed with double fluoroscopy and group II with single fluoroscopy. Parameters such as the preparation period, surgical duration, radiation exposure time, fracture types, sides and incidence of complications were also recorded.Results: Group I had 20 males and 11 females and group II had 21 males and 10 females. Left side was involved in 12 and right in 19 in group I and 15 in left and 16 in right in group II. Class II type was seen in 8 and class III in 24 in group I and 6 class II and 25 class III in group II. Complications were pin tract infection was seen in 2 each and neuropraxiain 3 in group I and 1 in group II. The difference was significant (P< 0.05). Preparation period in group I was 11.4 minutes and in group II was 8.5. Surgical duration was in group I was 32.5 minutes and in group II was 41.3. Total surgical duration was 42.3 minutes in group I and 48.5 minutes in group II and radiation time was 41.2 seconds in group I and 48.6 seconds in group II. The difference was significant (P< 0.05). Outcome was excellent in 20 in group I and 16 in group II, good in 7 in group I and 10 in group II and fair in 4 in group I and 5 in group II. The difference was significant (P< 0.05).Conclusion: Double fluoroscopy can be used safely during closed reduction and percutaneous pinning in displaced pediatric supracondylar humeral fractures.