Locking-plate osteosynthesis is a well-established treatment option for proximal humerus fractures. The aim of the study on functional and radiological outcomes of proximal humerus fractures treated conservatively versus open reduction internal fixation with locking plate. From February 2021 to August 2022, 34 patients with fractures of the proximal humerus, out of which 18 were admitted and operated upon and 16 were treated conservatively by closed reduction without GA and U-Slab application was done. All cases were followed up for a period of 12 months to evaluate the result. Proximal humerus fractures were found to have high incidence in the 40 to 60 age group. Males predominated over females in our study. The most common mechanism of injury was the RTA (Road Traffic Accidents) in 24 (70%) patients. According to Neer's classification majority were 3-part fractures of 52.9% patients. 3 (8.82%) patients presented with 3 parts fracture associated dislocation of humeral head and 3 (8.82%) patients with 4 parts fracture associated with humeral head dislocation. 23% (8 patients with 9 complications) complication rate was seen, out of which 7 complications were implant related and 2 complications were non-implant related. Good to excellent results in 11 patients treated by surgical technique and 5 patients treated by conservative technique. To conclude, we believe that a locking plate for the treatment of proximal humerus fractures somewhat leads to a satisfactory functional result over long term follow up in maximum of the cases as compared to conservative treatment with U Slab application.