Incidence of hip fracture is rapidly increasing in a population getting older day by day. Moreover, hip fractures are one of the most important healthcare problems around the world due to high mortality rates. Hip fractures are one of the main reasons to hospital admission in elderly. The most frequent etiology for hip fractures in elderly are simple falls. Effect of delayed surgery on postoperative outcomes in seniors are still contradictory. Generally, surgical timing guides recommend early surgery for hip fractures in seniors, although there are alternative opinions on postponed surgery and its effect on surgical outcomes. However; beyond the surgical timing guides, the surgeons who prefer postponed surgery turn to the idea that patients should take medical care before surgery and optimized medical conditions needed for undergoing surgical procedures. Forty-eight hours after admission looks like the most suitable surgical timing on hip fractures in elderly. Early surgery has been related to less mortality risk and fewer perioperative complications. The supporters of early surgery claim that this approach will shorten immobilization; therefore, decrease the risk of deep vein thrombosis, urinary tract infections, skin wound and related complications.