Objective: To explore the ERAS individualized perioperative management scheme for the application value of the Over-aged patients with hip fracture. Methods: Forty-three patients with traumatic hip fracture, femoral neck fracture and intertrochanteric fracture in First Department of Orthopedics, Central Hospital of Xiangtan City from Jan 1st, 2016 to Jan 1st, 2018 were divided into an ERAS group (n=25) and a conventional group (n=10). The EARS group, including 12 cases of femoral neck fracture and 13 cases of intertrochanteric fracture, received surgery under ERAS individualized intervention. The routine group received routine surgical treatment, including 8 cases of femoral neck fracture and 10 cases of intertrochanteric fracture. The postoperative pain (VAS score), the incidence of complications, the mortality of hospitalization, the functional status of the hip (Harris function score), and the average length of hospital stay were compared between the two groups. The patients in both groups were followed up in 3rd, 6th and 12th month after surgery, respectively, and the mortality and the functional status of the hip joint were compared. Results: The VAS score was significantly lower in the 1st, 3rd and 7th day after the eperation in the ERAS group than the normal group (P<0.05). No patients died in the ERAS group during the hospitalization, 1 case showed pulmonary infection, and 1 showed gastrointestinal reaction after operation. And in the conventional group there were 2 cases of hospitalization death, 1 cases of deep vein thrombosis, 1 cases of lung infection, and 2 cases of postoperative appeared gastrointestinal reaction. The incidence of mortality and complications in the ERSA group was significantly lower than that in the conventional group; the average length of hospital stay was (14.13±2.55) d in the ERAS group, which was significantly lower than that in the conventional group (25.13±3.68) d, the differences were all statistically significant (P<0.05). The Harris function score for the hip joint was significantly higher than that of the conventional operation group in the 3rd month and after discharge from the hospital for the first day (P<0.05), but no difference in the 6th and the 12th months after discharge (P>0.05). There was no difference in the new mortality rate between the two groups in 3, 6 and 12 months after the surgery (P>0.05). Conclusion: Individualized ERAS perioperative management scheme can significantly relieve postoperative pain, reduce the incidence of postoperative complications, improve postoperative function, shorten the length of hospital stay, and lower in-hospital mortality for over-aged hip fracture patients.