Neck of femur fractures are common injuries, especially seen in the elderly people. The common modality of treatment for neck of femur fracture in elderly people is hemiarthroplasty of hip. This study was performed to evaluate the functional outcome of the bipolar hemiarthroplasty by direct superior approach among elderly paents with femoral neck fracture. Tradional posterior approaches to the hip, posterolateral and mini-posterior, violate the iliobial band and the short external rotators, specifically the quadratusfemoris and obturatorexternus muscles. A prospective study in 31 patients aged more than 65years with neck of femur fracture and treated with hemiarthroplasty of hip by direct superior approach was undertaken and post operavely was assessed at 6,12,24 weeks using Harris hip score and Visual analogue scale. Mobilization day post op and cessation of walking aids in weeks post op was also observed. Pain outcomes assessed by the Visual Analog Scale (VAS) indicated a progressive decrease in pain; at 6 weeks, 9.7% of patients had a VAS score of 0, 38.7% a score of 1, 29.0% a score of 2, 16.1% a score of 3, and 6.5% a score of 4; at 12 weeks, the distribution shifted to 61.3% with a score of 0, 29.0% with a score of 1, 6.5% with a score of 2, and 3.2% with a score of 3; and at 24 weeks, 67.7% reported a score of 0, 29.0% a score of 1, and 3.2% a score of 3.