Background: Positioning for neuraxial blocks in proximal femur fracture is challenging, even slight overriding of the fracture end is intensely painful, Prior to neuraxial blockade, analgesia is provided by conventional modes of pain relief like NSAIDs, opioids and peripheral nerve blocks such as femoral nerve block, 3 in 1 block and Fascia iliaca compartment block, In this study we gave ultrasound guided Fascia iliaca compartment block and compared efficacy of block for positioning for spinal anesthesia with dexamethasone as adjuvant to ropivacaine in one group and only ropivacaine in another.