Background: More than 90% of hip fractures in patients after the 5th decade of age are intertrochanteric fractures with 20-30% of these cases experiencing complications and a mortality rate of approximately 17%. Dynamic Hip screw is gold standard for fixation but to minimize intra-operative complications keyhole surgeries are getting popular. Objective: To evaluate intraoperative and immediate post-operative outcome amongst intertrochanteric fracture patients operated with keyhole surgery. Material & Methods: Prospective study conducted amongst elderly population with inter-trochanteric femur fracture admitted in rural hospital from central India. Duration of surgery, intra-operative blood loss and healing of wound was noted. Results: Total 16 patients were operated with male to female ratio of 1.6:1. Conclusion: Keyhole surgery reduces surgical duration and blood loss due to minimum tissue handling. It can be a procedure of choice in patient with co-morbidities and illness.