Background: Rib fractures occur in about 10% of trauma-studied cases and are associated with significant morbidity and mortality. Despite advancing technology in the surgical stabilization of rib fractures, the ideal treatment strategy and surgical indications still remain controversial. Objective: The current study aimed to compare the effectiveness of surgical management of displaced fractured ribs when added to medical treatment versus conservative medical treatment in pain control and patient outcome. Patients and methods: A retrospective comparative study was conducted on 300 patients diagnosed with displaced fractured ribs from January 2018 to January 2022. The participants were divided into 2 groups; group A included 150 patients subjected to surgical management,and group B included 150 patients subjective to conservative medical treatment. Results: Mc Gill pain Questionnaire showed higher values of Pain Rating Index and Present Pain Intensity in the non-surgical group than the surgical group. RAND 36 Healthy Survey showed a higher score in the surgical group than the non-surgical group. The higher need for ICU admission, prolonged length of ICU stay, total hospital stay and higher incidence of in-hospital morbidity as chest infection including pneumonia and mortality were observed more in the non-surgical group than the surgical group. Conclusion: Surgical management of displaced fracture ribs is superior to conservative medical treatment regarding pain control and patient outcome.