In the elderly patients, we evaluated the results of treatments for the femoral neck fractures in the respect of quality of life. We used the Rosser index to generate quality of life score(QoL). Rosser index composed of two dimensions with distress and disability. Seventy-nine patients aged over 65 years with femoral neck fracture have been evaluated. Forty-nine cases were treated with bipolar hemiarthroplasty and thirty cases were treated with internal fixation such as compression hip screw. Knowles pin, cannulated hip screws. At one-year after operation, the median score of quality of life was 0.990 in bipolar hemiarthroplasty patients and 0.988 in the internal fixation patients. There was significant difference between the two groups(P<0.05). Patients treated with bipolar hemiarthrol)lasty had better QoL score than the patients treated with internal fixation. The elderly patients treated with bipolar hemiarthroplasty has lesser diability and was able to get early weight bearing.