Whether elderly people need surgery for a hip fracture depends mainly on the type of fracture and the overall health of the patient. Hip fractures often cause severe pain and limited mobility. In most cases, surgery is recommended because it helps the bone heal faster, restores mobility, and reduces the risk of complications. However, if the patient is in poor health and the surgical risk is high, conservative treatments such as bed rest and physical therapy may be considered. The final decision should be made by the doctor based on the specific situation.