Hip fractures are often the consequence of low energy trauma, especially in the elderly with osteoporosis. The incidence is rising globally because of secular increase in the prevalence of osteoporosis. This article explores the key risk factors and stratification tools for hip fractures, aiming to equip clinicians with evidence-based insights to improve patient outcomes. Effective risk stratification is pivotal for optimizing patient outcomes, enabling early identification of highrisk individuals, facilitating multidisciplinary interventions, and guiding resource allocation to mitigate mortality, morbidity, and healthcare burdens. The array of validated tools from FRAX and QFracture for predicting fracture occurrence to Nottingham Hip Fracture Score, Almelo Hip Fracture Score, and others for postoperative prognosis provides clinicians with evidence-based frameworks. Thus, a comprehensive approach combining thorough risk factor evaluation with appropriate stratification tools empowers healthcare providers to deliver targeted interventions, improve survival rates, and enhance quality of life for patients with hip fractures. Continued research and global calibration of these instruments will further refine their utility in addressing this escalating epidemic.