Among the different manifestations of trauma, complex pelvic injuries are some of the most dangerous and deadly trauma related lesions. Pelvic trauma is one of the most complex to manage in trauma care and occurs in 3% of skeletal injuries,, with associated mortality rates of 10-16%. Most pelvis injuries require a significant amount of force. The most common mechanisms of injury include motor vehicle accidents. Due to the high force associated with pelvic fractures, they are commonly associated with other injuries, require transfusions , and prolonged rehabilitation. The most common and worrisome associated injury is hemorrhage. Consequently, the management of trauma aims initially to restore the altered physiology. The main aims of proper pelvic trauma management are thus to control bleeding and stabilize the hemodynamic status. Early proper treatment can decrease the development of disabilities, preventing septic, urogenital, vascular, and sexual function complications. Once the patient with pelvic fracture is resuscitated and stabilized, definitive surgical management and anatomic restoration of the pelvic ring become the goal. Management includes stabilization with pelvic binders, preperitoneal pelvic packing, resuscitative endovascular balloon occlusion of the aorta, angiography for embolization of bleeding pelvic vessels, and operative stabilization of the pelvic fracture either internally (ORIF) or externally.