Clavicle fractures were considered non-troubling entity in the past. Majority of mid-shaft fractures used to be treated conservatively and many studies reported relatively good results. However, more recent studies have reported poor results following conservative treatment regarding non-union, disabilities and cosmetic reasons. The results of operative treatment improved considerably with the introduction of better implants and awareness regarding disability. The aim of this study was to compare the results of closed versus operative treatment. Methods: Total of 80 patients with displaced midshaft clavicle fractures in two groups of 40 each in conservative and operative groups were compared. Mean age was 30 years range from 18 years to 60 years. All patients in the conservative group were treated using a figure of eight bandages with an arm sling, and in the operative group, curved locking plate was used. All patients were evaluated clinically and radiologically at three weeks, six weeks and after three months of treatment respectively. All patients were followed up for 3 months following the treatment. The outcome was rated using DASH score and Constant Moor scores. Results: The mean fracture union time was significantly lower in the operative group (14.4 weeks) as compared to the conservative group (24.2 weeks). The difference is statistically significant (p<0.05). DASH score and Constant Moore score were significantly better in the operative group. They were 94.2 and 96.4 in operative and 78.2 and 84.4 in conservative group respectively. Conclusion: Within the limitations of the present study it can be concluded that by the operative treatment, fractures of clavicle have improved outcomes in terms of short union time, anatomical restoration of shape and length, early mobilization and fast rehabilitation as compared to conservative treatment in our follow up. Primary fixation of fracture clavicle is of immense importance while treating young, active and persons involved in sports.