Background: Fingertip injuries are the most common injuries that occur to the hand, accounting for 4.8 million Emergency Department visits per year. Fingertip injuries requires immediate intervention to avoid any complications or deformities. Several therapeutic modalities have been used for treatment; either surgical or conservative treatment and each of them has its own advantages and disadvantages. However, evidence is still lacking in the literature supporting either surgical or conservative lines of treatment. The purpose of the present study is to compare functional and aesthetic outcomes between surgical and conservative treatment of fingertip injuries.Methods: This prospective study included 50 patients with Allen's type II and III of fingertip injuries divided into two groups; Group I included 20 patients treated surgically and Group II included 30 patients treated conservatively which is further subdivided into subgroup I (Platelet Gel), subgroup II (Hyaluronic acid) and subgroup III (Fucidic acid). Results:The conservative treatment showed a significant improvement regarding the sensory outcome, the range of motion, rate of complications, the aesthetic outcome and the patients' satisfaction (p=0.002, 0.001, 0.021, 0.035, 0.026 respectively). The platelet gel in the conservative treatment showed a significantly shorter time of healing compared to other modalities of conservative treatment (p=0.004) thus a significant faster recovery and shorter time off-work (p=0.001). Conclusion:We concluded that the conservative treatment provides better functional and aesthetic outcome in treating fingertip injuries. The use of platelet gel in fingertip injuries is associated with decreased time of healing and early return to work.