Aim: To compare the clinical and functional outcome of hemiarthroplasty hip lateral v/s posterior approach in fracture neck of femur. Materials and method: All patients with femoral neck fracture who are aged more than 60 years, aged less than 60 years with failed osteosynthesis or delayed presentation, with non-union and with given informed consent were included in the study. All the patients with infected hip pathology, significant cardiovascular, renal or hepatic disease, pregnancy, malignancy, severe systemic comorbidities, vascular insufficiency e.g. DVT, whose status were unable to walk before falling and those having another fracture in the same or other limb were excluded from the study. Patients was admitted in orthopaedic ward and was divided consecutively into 2 groups, with equal number of patients in each group, i.e. lateral approach and in conventional posterior approach groups. Results: The mean pre-op Modified Harris Hip Score was comparable between both the groups as per Student t-test (66.04±4.40 vs. 65.02±5.06; p>0.05). The post-op Modified Harris Hip Score during follow-up period was comparable between both the groups - post-op 2 weeks (74.32±4.18 vs. 74.88±4.16), post-op 1 month (76.24±3.48 vs. 76.64±3.60), post-op 3 months (81.92±3.09 vs. 83.52±2.10) and post-op 6 months (84.36±2.34 vs. 85.64±2.16). There was “no significant difference between the groups” (p>0.05). However, it was observed that there was significant improvement in Harris Hip Score within both the groups during follow-up period (p<0.05). Conclusion: In our study we have found direct lateral approach (Hardinge’s approach) is better compared to the posterior approach (Moore’s approach) in term of low dislocation rate and better functional recovery. Hardinge approach had reduced complications in comparison to the Moore’s approach in terms of dislocation/sciatic nerve injury/infection. Keywords: Hemiarthroplasty hip lateral, Posterior approach, Fracture neck of femur