Pelvic fractures are relatively infrequent type of fractures and they make up to 3% of total fractures in adults. Approximately half of these fractures are caused by low energy trauma, mostly in elderly, and other half is caused by high energy trauma, mostly associated with traffic accidents. Type of further management is heavily dependent on type of injury, and to assist in decision making different classifications of pelvic injuries were developed. Predominantly utilized are AO/OTA and Young-Burgess classification. AO/OTA classification describes pelvic fractures as either stable (Type A), partially stable (Type B) and unstable (Type C). Stable and partially stable fractures make up more than half of total pelvic fractures. Unstable fractures are associated with higher ISS, concomitant injuries and otherwise they have worse outcome being responsible for most of mortality due to pelvic injury. Approximately 4% of pelvic injuries are open fractures which are, despite modern management techniques, associated with high mortality. Before definitive treatment of pelvic fractures patient has to be resuscitated in order to be haemodynamically stable enough to undergo surgery. Bleeding management is often performed utilizing various techniques that stabilize and compress pelvis in order to stop the bleeding, with variable results. Angioembolization is useful in management of arterial pelvic bleeding. Type A fractures can be treated non-operatively in most cases whereas Type B and C fractures require some sort of fixation. External fixation may be sufficient in treatment of Type B fractures, but not in Type B3 and C fractures which require internal fixation as only adequate treatment option. Long term follow-up of patients after pelvic injury reveal that despite advancement in the treatment of pelvic fractures, still great number of patients suffer long term complications of which persistent pain and reduction of mobility are most common.