In a prospective study we performed anterior internal fixator surgery to 20 patients with anterior pelvic injuries. Twelve patients only needed anterior internal fixator where the rest required additional surgical procedures for concomitant injuries. Reduction was assessed using Matta criteria and was judged to be excellent in four, good in 13 and fair in 3 patients. Using Majeed score to assess the results we had 5 excellent, 13 good and 2 fair results after removal of the anterior fixators. All patients could comfortably sit, stand, squat, lie prone, and lie on their side. Complications included infection in four patients (1 deep and required debridement, 2 superficial and 1 mild infection that responded fairly to dressing and antibiotic therapy) and three case had lateral cutaneous nerve affection and loosening in one screw in one case. and Complications had no effect on the final outcome of the procedure. We believe that internal fixator procedure to be a convenient