Surgery for geriatric proximal femoral fractures (PF) is associated with high mortality rates within the first year. Studies with follow-up of at least 10years after surgery are lacking. Based on our database, we reviewed patients with PF who underwent surgery and were followed for aminimum of 10years. Only patients aged 65-99years were included. The primary endpoint was survival compared to the mean life expectancy of the general population evaluated by the German Federal Statistical Office. The secondary endpoint was any revision later than 1year after surgery. After aminimum of 10years telephone calls were conducted with living patients or their relatives. From a total of 1203consecutive patients 1000patients with 1000 PF were evaluated after amean of 12.2years (range 10.0-14.0 years). The mean survival was 4.5 ± 1.6years, and the 10-year survival rate was 13.1%. Atotal of 7 periods with arange of 5years were analyzed, starting from 65-69years up to 95-99years. Compared to the mean life expectancy of the general population, the survival rate of the sample was significantly shorter up to 9years. Both genders were equally affected. With increasing age, this gap declined based on shorter life expectancy. Asubgroup analysis revealed that patients with survival > 1year did not demonstrate significantly better results. Revisions later than 1year after the index surgery were infrequent, and only 27(2.7%) were recorded. Geriatric patients with PF have significantly shorter life expectancy than the general population evaluated by the German Federal Statistical Office. This reflects fragility and morbidity of patients with PF.