Trochanteric fractures constitute approximately half of all the hip fractures in elderly patients who have decreased bone strength and density. Proximal femoral nail [PFN] was introduced by AO/ASIF as a biomechanically stronger intramedullary device. Present study was aimed to study of trochanteric fractures treated with proximal femoral nailing at a tertiary hospital. Material and Methods: Present study was single-center, prospective, observational study, conducted in patients in the age group of more than 20 years of either sex, trochanteric fracture type 31-A1, 31-A2, 31-A3 (OTA classification) and 4 types of Boyd & Griffin classification. Patients were operated with PFN under fluoroscopic guidance. Results: In present study, 30 patients were studied. Majority patients were in the elderly group. 60% of patients in our study were females. In present study, type 31.A2 was the most commonly occurring pattern (47 %) while, type 31.A3 the reverse oblique unstable type was the least common (16%). The maximum patients have Singh’s index of 3 and 4 (54 %). Intraoperatively closed reduction was achieved in 97% patients. Only 1 patient (3%) required open reduction due to the complex fracture pattern. Good and acceptable reduction was achieved in 70% and 27% respectively. Only 3% (1 patient) had poor reduction and had poor outcome in final analysis. 27 Patients had no complications. 1 had Z-effect and 2 had shortening. 20 Patients (66 %) were found to have radiological union before 15 weeks. The outcome of patients treated with PFN were analyzed with Harris hip score at the end of 6th month post operatively and were found to be excellent in 47% patients (14 patients). Good outcome in 9 (30%), fair in 5 (17%).2 patients had poor outcome (6%). Conclusion: Proximal femur nailing offers a stable and reliable fixation with a promising functional outcome in patients with intertrochanteric fractures.