Aim: The aim of the present study was to evaluate the role of conservative vs operative treatment for acute scaphoid fractures. Material and methods: This prospective observational study was carried out in the Department of Orthopaedics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pardesh, India from September 2015 to August 2016. Total 50 acute scaphoid fractures (<3 weeks) irrespective of the location and All scaphoid fractures as a part of other acute injuries like peri-lunate instabilities were included in this study. The clinical examinations consisted of three diagnostic tests: A. tenderness in the anatomical snuffbox (ASB); B. scaphoid tubercle tenderness (STT); and C. pain on longitudinal compression of the thumb (LTC). If any of these tests were positive, the patients were referred for a radiographic investigation of thewrist). Results: A total of 50 cases of acute scaphoid fracture (