Twenty one patients with unstable pelvic fractures were treated surgically and analyzed with an average follow up of 8.7 months (range 3–16 months). 13 out of 21 patients suffered Tile’s type B injury and the remaining were type C injuries. In our study, 11 patients (52.4%) had associated skeletal and/or soft tissue injuries. Six of the twenty one patients were hemodynamically unstable after resuscitation. Emergent external pelvic fixation was done in all these patients. The remaining 15 patients were treated with open reduction & internal fixation.3 patients died in the acute phase. Functional outcome of the survived patients were assessed using the pelvic outcome scale by Cole et al. 2 patients were lost for follow up and 1 patient could not be functionally evaluated due to associated injury. Of the remaining 15 patients, 12 had good, 2 had fair and 1 patient had poor outcome.