Hip fractures represent a significant healthcare challenge globally, particularly affecting older adults aged 65 years and above. This comprehensive review examines evidence-based physiotherapy interventions for hip fracture rehabilitation across acute, subacute, and chronic phases of recovery. The article synthesizes current research findings and established clinical guidelines, with particular emphasis on National Institute for Health and Care Excellence (NICE) recommendations and their application in resource-limited settings such as Nepal. Key physiotherapy interventions include early mobilization within 24-48 hours post-surgery, progressive resistance training, balance and proprioceptive exercises, gait training, and fall prevention strategies. The multidisciplinary team approach is essential for optimal outcomes, with physiotherapists playing a central leadership role in mobility restoration and patient education. Special considerations are addressed for geriatric patients, including cognitive impairment and delirium management, as well as the impact of comorbidities such as diabetes and cardiovascular disease. The article also explores the unique challenges faced in Nepal’s healthcare system, including urban-rural disparities, cultural factors, and resource limitations, while identifying opportunities for community-based rehabilitation and innovative approaches such as telerehabilitation. Emerging technologies including digital tools and robotic-assisted physiotherapy offer promising avenues for enhancing rehabilitation outcomes. This review provides a comprehensive framework for healthcare professionals to deliver optimal, evidence-based physiotherapy services for hip fracture patients while considering contextual adaptations for diverse clinical settings.