Objective: To explore the influence of different operation timing on postoperative efficacy of elderly patients with hip fracture. Methods: A total of 60 elderly patients with hip fracture in our hospital from June 2023 to June 2024 were selected as the study objects, and divided into early operation group (n=36) and delayed operation group (n=24) according to whether the time from injury to operation was more than 48 hours. Clinical medical records of patients were collected and clinical indicators, hip function and complications were evaluated in the two groups. Results: The amount of blood loss, length of hospital stay, total hospitalization cost and fracture healing time in the early operation group were less than those in the delayed operation group (P<0.05). There were no significant differences in pain, function and mobility scores between the two groups before surgery (P > 0.05), and the scores of pain, function and mobility in the early surgery group were higher than those in the delayed surgery group 2 months after surgery (P<0.05). The complication rate of early group was lower than that of late group (P < 0.05). Conclusion: Compared with delayed operation, early operation has better effect, is conducive to postoperative recovery, reduces the total hospitalization cost, and can better improve the hip function and speed up the postoperative recovery of patients, which is worthy of popularization and application.