Femoral shaft fractures are one of the common fractures in paediatric age group. They represent approximately 1.6% of all bony injuries in children. The preference of treatment of femoral shaft fracture in each child depends upon age of the child, the location and type of the fractures. Elastic stable intramedullary nailing is the minimally invasive technique, the short operation time, and the preservation of the growth plate. The purpose of the present study is to analyse the result of titanium and stainless-steel elastic nail in paediatric femoral fractures in 5-12 years of age group. No statistically significant difference was found in stability of fractures treated with both the methods. Both methods have their own advantages. Stainless steel nails are much cheaper as compared to titanium elastic nails which is important aspect in Indian scenario.