Studies have correlated the results from treating femoral neck fractures with the surgical technique used, the type of prosthesis used or with the radiological outcomes. However, little has been defined about quality of life after hemiarthroplasty in elderly patients. Purposive sampling method was adopted and Pre-injury and Post-operative Observational analysis was done after hemiarthroplasty in elderly patients in relation to physical, psychological, social relationships and environment domains of quality of life. After Exclusion of neurologically ill and grievous comorbid individuals 100 patients with an average age of 70.8 years who underwent hemiarthroplasty in a tertiary care hospital were studied. Patients with Mini Mental Status Examination score more than 24 inferring good cognitive function were only included. Health related quality of life was rated by the WHOQOL-BREF applied before surgery and 6 months after surgery.