Background: Proximal femur fractures, particularly intertrochanteric fractures, are common causes of morbidity among elderly patients. Surgical fixation using either a Dynamic Hip Screw (DHS) or a Trochanteric Plate (TP) is the standard of care, although evidence comparing their functional outcomes remains inconclusive. This study aimed to compare the clinical, radiological, and functional outcomes of proximal femur fracture fixation using DHS and TP. Methods: This comparative observational study was conducted at the Department of Orthopedics, Holy Family Red Crescent Medical College Hospital, Dhaka, Bangladesh, from January 2023 to December 2024. A total of 30 patients were equally divided into the DHS (n=15) and TP (n=15) groups. Patient demographics, intraoperative variables, complications, radiological union, and functional outcomes were assessed. Harris Hip Score (HHS) was used to evaluate function at 6 months postoperatively. Data were analyzed using SPSS v25.0, and p<0.05 was considered statistically significant. Results: The mean operative time was significantly shorter in the TP group (58 ± 12 min) than in the DHS group (65 ± 15 min, p<0.001). Radiological union at 12 weeks was slightly higher in the TP group (86.6% vs. 73.3%, p=0.37). Mean HHS was comparable (TP: 90.2 ± 7.5 vs. DHS: 87.5 ± 8.2, p=0.35). The complication rates were low and not significantly different between the groups. Conclusion: Both DHS and TP fixation methods are effective in treating proximal femur fractures. TP fixation may offer minor advantages in terms of operative time and early union, but the functional outcomes at six months are similar.