ABSTRACT Background: Distal tibia shaft fractures pose a significant challenge to treating surgeons. The present study was conducted to compare expert tibial nailing with distal tibial plating in patients with distal 1/3rd extraarticular tibial fractures. Materials & Methods: 60 patients of extra-articular distal 1/3rd tibia fractures were divided into 2 groups of 30 patients each. Group, I was treated with expert tibial nailing, and group II with distal tibial plating. Results: Group I comprised 20 males and 10 females and group II 14 males and 16 females. The mean intraoperative blood loss was 51.4 ml and 85.4 ml, operative time was 81.2 minutes and 100.6 minutes, union time was 17.3 weeks and 24.2 weeks and post-operative full weight bearing time was 8.5 weeks and 14.3 weeks in groups I and II respectively. The difference was significant (P< 0.05). Johner – Wruss scoring system in group I and group II was excellent seen in 20 and 18, good in 3 and 6, fair in 7 and 3, and poor in 0 and 3 respectively. The difference was significant (P< 0.05). Conclusion: Tibial interlocking nailing was superior as compared to plating for the management of patients.