Supracondylar fractures were described in the early writings of Hippocrates during the 3rd and 4th century A.D (1). Until 1700s it was not written about supracondylar fractures in the classical medical literature. This fracture is common in the first decade of life due to causes like ligamentous laxity and anatomical structure of humerus tube(shaft) to flat transformation at lower end of humerus. Its incidence decreases with age(2). Supracondylar fractures of humerus need to be handled carefully to avoid drastic short term complications and vexing long term complications. The complications can be prevented by early and appropriate intervention. This can be achieved only by proper anatomical reduction and maintenance of reduction either by percutaneous pinning or ORIF. In our study we compared about the functional and cosmetic outcome of supracondylar fractures of humerus in children treated by percutaneous pinning and ORIF with Kirschner wires. Our sample size was 21 children under the age of 12 yrs with flexion or extension type of fracture which was treated by the modalities stated above. The patients were followed up for a period of 6 months to evaluate for the out–come.