Femoral neck fractures (FNFs) pose a complex and multifaceted orthopedic challenge, necessitating a nuanced understanding to navigate their diagnosis, treatment, and subsequent management effectively. These fractures occur at the critical junction between the femoral shaft and head, representing not only a physical disruption but also a significant threat to the functional independence and overall well-being of affected individuals. FNFs are among the most common fractures in older populations, with a mortality risk at 1 year reaching 36%. Managing these injuries also entails a significant financial and societal burden.  FNFs demonstrate a bimodal distribution pattern, with low-impact injuries affecting older people and high-force trauma involving younger individuals. However, most FNFs are seen in older populations, with osteoporosis, female gender, chronic smoking, and low body mass index further increasing the risk. Understanding the surgical management options for FNFs and their specific indications is essential in improving patient outcomes.