Hip fractures in elderly patients present a major health and economic burden, with high rates of morbidity and mortality exacerbated by multimorbidity. Hip fractures, predominantly affecting individuals over 65, especially women, present with symptoms like groin pain and impaired mobility, often resulting from falls. These fractures are classified as intra-capsular or extracapsular and are generally treated surgically. Early surgical intervention within 24–48 h is recommended to enhance recovery, reduce hospital stays, and minimize complications. Postoperative care includes thromboembolism prevention and rehabilitation, with fall prevention strategies essential to reducing fracture incidence. Hip fractures in the elderly often lead to severe, multidimensional disability, affecting physical, psychosocial, and spiritual well-being. Despite surgical repair, many patients experience lasting functional impairment, increased dependency, and heightened risk of myocardial infarction or stroke. Post-fracture recovery challenges include mobility limitations, psychological distress, and social isolation, underscoring the need for comprehensive support systems and targeted interventions to improve recovery outcomes. Orthogeriatric co-management is a multidisciplinary approach for elderly patients with fragility fractures, especially hip fractures, addressing both fracture treatment and complex medical needs. This model encompasses comprehensive geriatric assessments, geriatric syndrome prevention, and secondary fracture prevention. Meta-analyses suggest orthogeriatric care moderately reduces in-hospital mortality, length of stay, and delirium rates, aligning with several national guideline recommendations for elderly hip fracture management. Despite recommendations for orthogeriatric hip fracture care, increasing demands from an aging population challenge the geriatric-specialist workforce. A proposed solution involves leveraging hospitalists to enhance acute geriatric care, as evidenced by cohort studies showing reduced surgery times and hospital stays. Although no RCTs have evaluated this model, some studies suggest hospitalist care lowers surgical wait times and medical complications in elderly patients with hip fractures. Orthogeriatric and hospitalist co-management improve hip fracture outcomes for elderly patients.