Background: Intertrochanteric fractures are one of the common injuries sustained predominantly in old age, with osteoporotic bones affecting the lifestyle. Conservative treatment usually results in malunion. To restore the patient to preinjury condition at the earliest, surgical intervention is the only possible way. The type of implant influences on the surgical outcome and the complications. Objectives: To study the surgical and radiological outcome of intertrochanteric fractures of the femur treated with the proximal femoral nail antirotation II. Materials and Methods: This is a Prospective non-randomized case control study of 33 cases with Intertrochanteric fractures, admitted in Navodaya Medical College Hospital and Research Centre, Raichur during the period from January 2021 to July 2022. The cases were classified under AO and Boyd and Griffin Classification treated with PFNA2. The functional, surgical and radiological outcomes are assessed at regular intervals. Results: In our study fractures managed with PFNA II had good surgical, functional and radiological outcomes. In our study the average incision length was 7.682±0779 cm, average duration of surgery was 1.06±9.743 min, average blood loss was 74.24±23.46 ml with average TAD 20.09±2.02 mm. Totally we had 11 cases of complications, 4 cases of postoperative pain subsided by 12 weeks, 3 cases of superficial infection, 4 cases of varus collapse of which required revision surgery and 2 cases of postoperative mortality, remaining cases united well and have an average HHS of 79.74±4.598 at 6months and 90.622±4.343 at 1 year follow up. There were no cases of peri implant fracture, implant failure encountered in the study. Interpretation and Conclusion: The newer generation intra-medullary nails are easy to insert with smaller incisions, reduced blood loss, reduced operative time, with stable fixation, less complications and have more successful functional and radiological outcomes, when the parameters are restored.