As the demographic profile of our nation shifts towards an aging population, the incidence of fragility fractures, particularly hip fractures, has seen a significant upsurge. This special edition “Hip Fracture in Adults” of the Nepal Orthopedic Association Journal (NOAJ) is dedicated to unraveling the complexities associated with these injuries, focusing on a multi-disciplinary approach that spans from pre-operative optimization to postoperative rehabilitation. The concept of ‘The Golden Hour’ is well established in trauma care. However, in the context of geriatric hip fractures, this window extends to ‘The Golden 48 Hours’. Evidence consistently shows that surgical intervention within this timeframe significantly reduces mortality and improves functional outcomes. Yet, achieving this goal in our healthcare settings requires a paradigm shift in how we perceive and treat these patients. In this issue, we present a collection of review articles and clinical perspectives from leading experts. We explore the latest trends in surgical fixation, the role of orthogeriatric units, and the implementation of standardized care pathways.