background Constipation is a troubling condition that can happen to anyone, but it has much 
concern in patients with limited physical mobility as patient with orthopedic disorder. Aim of 
the study was To evaluate the efficacy of Murdoch bowel protocol on constipation among 
patients with hip and pelvic surgery Study design: was Quasi- experimental. Setting: The 
study conducted in Tanta International Teaching Hospital. Subjects: The sample included 80 
patients who were adults (21- 60 years), conscious and newly admitted to orthopedic 
department. Tools: Three tools were enrolled in the study for data collection: Tool (I)
patients' sociodemographic sheet and health relevant data ", Tool II: Bristol Stool Form 
Scale. Tool III: Constipation Assessment Scale. Results: shows that the majority of patients 
86.4% in study group and three quarters 75% of control group patients had constipation at the 
beginning of the study but at the end of study period after application of Murdoch bowel 
protocol only 11.1 %of study group had constipation compared to less than three quarters of 
control group patient. Conclusion: The Murdoch bowel protocol had great effect in 
prevention and management of constipation for patients with hip or pelvic surgery with a 
highly statistically significant difference between study and control group through period of 
the study as P value =0.000*. Recommendation: implementation of Murdoch bowel protocol 
for all orthopedic patients in orthopedic department for assessment and management of 
constipation