Hip fractures can cause considerable pain when untreated or under treated that justifies preoperative control. Since surgery is very often delayed for more than 24 hours for a variety of reasons in these patients and fracture immobilization can also be a very difficult task without proper analgesia, providing satisfactory analgesia is a major challenge while patients await surgery. This pain can be alleviated by a simple fascia iliaca compartment block that can be performed at the bedside without the need of a nerve stimulator. FICB is a feasible, efficient pre-operative supplement to conventional pain-treatment for patients with hip fractures. Clonidine adjunct in appropriate dose in single shot fascia iliaca compartment block is a feasible and effective method of pre-emptive analgesia for patients with hip fractures with a minimal risk approach and acceptable safety profile.