Intertrochanteric fractures of the femur are commonly seen in the orthopedic department due to increased life expectancy and sedentary lifestyles. Therefore, these kinds of fractures are commonly seen in the geriatric population. Management is, therefore, challenging due to age and associated medical conditions present in the older patients. We in the present study to compare the outcome of surgical management of inter-trochanteric fractures of the femur with the dynamic hip screw (DHS) and proximal femur nailing fixation (PFN). Methods: This cross-sectional prospective study of surgical management of inter-trochanteric fractures of the femur was conducted in the Department of Orthopedics, Mahatma Gandhi Memorial Hospital, Warangal. Based on the inclusion and exclusion criteria a total of n=30 cases were identified during the study period from August 2016 to October 2018. Out of which n= 15 were treated by PFN fixation and n=15 were treated were treated with DHS method. Standard operative and surgical techniques were utilized and postoperative care is done. Follow up of cases in both categories was at 2, 4, 6 weeks, 3 months, 6 months, and 1 year after the surgery. Results: The total numbers of the male were n=16 (53.33%) and female were n=14 (46.66%). The mode of injury revealed 11 cases were due to Road Traffic Accidents (RTA) and trivial falls were found in n= 19 (63.33%) of the patients. In n=18 (60%) the right side was involved in the fractures and in n=12(40%) left side was involved in the fractures. A total of n=14 (46.65%) complications were seen during the operative procedures n=3 (10%) complications each was seen due to failure to get an anatomical reduction, failure to put derotation screw, and Varus Angulation n=2 (6.66%). Conclusion: it can be concluded that PFN and DHS have similar outcomes for stable intertrochanteric fractures but in cases of unstable intertrochanteric fractures PFN may be considered the best option. PFN generally has the advantage of being useful in weak osteoporotic patients and is biomechanically sound as it is done by closed technique, fracture opened only when closed reduction could not be achieved and it is an intramedullary device