Fragility fracture of the femoral neck is a common elderly disease in orthopedics, and due to its high disability and mortality rate, has attracted much clinical attention. Although the treatment plan is mature, it is still controversial. In recent years, the treatment of this type of fracture has been deeply explored at home and abroad, from refining the surgical operation of traditional internal fixation, introducing new internal fixation methods and computer navigation/robot arm assisted internal fixation treatment, to hemiarthroplasty/total hip arthroplasty, selection of cemented/uncemented hip prosthesis, and clinical application of dual mobility total hip prosthesis. In this article, we sort out the latest treatment options for femoral neck fragility fracture in the elderly, in order to provide more valuable references for clinical practice.