Discomfort and elevated energy consumption is still a common companion of many prosthetic users, generally due to altered loading condition which the body is not adapted to, preventing them to participate actively in the society. The socket, being an interface between body and prosthesis, is believed to be the most important concern regarding comfort of prosthetic use. The main cause of problem is altered gait dynamics. Local stress concentration, friction and slippage, confinement into warm moist environment inside socket, etc. adds to discomfort. The stump, being a living part, is also subjected to variations. These produce various soft tissue problems and enhance energy expenditure. This can be somewhat countered by even distribution of load along stump. In this review article, papers regarding biomechanics and pathomechanics of prosthetic gait, the mechanical and corresponding medical problems and suggested solutions have been studied in details. 59% of Trans-Tibial amputees and 78% of Trans-Femoral amputees are found to have problems with socket fit. This results in skin irritations in 41% of TT amputees and 22% of TF amputees. The main problems are regional stress concentration, friction and rubbing of stump along socket and energy expenditure. Hydrostatic total surface bearing and variable geometry fitting socket has been hypothesized to counter this problem though they are also having their own limitations.