Background: Proximal humerus fractures are common and debilitating injuries and the incidence of them are increasing especially in the elderly. Treatment of unstable, displaced, and comminuted proximal humerus fractures remain challenging. Significant controversy continues regarding the best methods of treating displaced proximal humerus fractures. The treatment goal is to achieve a painless shoulder with a fully functional outcome. Regarding the treatment of proximal humerus fractures, controversies still exist about whether to do conservative or operative management. Various operative procedures are carried out like percutaneous pinning, tension band wiring, platting, and rush nailing. A recent method of internal fixation is with locking plates. PHILOS plates provide rigid fixation and more angular stability compared to other methods of operative treatment of proximal humerus fractures and help in early mobilization and physiotherapy which leads to achieving a painless shoulder with a good functional outcome.