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Abstract : A pelvic fracture involves damage to the hip bones, sacrum, or coccyx - the bony structures forming the pelvic ring. Fracture of the pelvis occurs most commonly in the setting of a high-impact trauma and are often associated with additional fractures or injuries elsewhere in the body. This fracture has several complications. No literature systematically gives data about complications of pelvic fracture. This article attempts to encompass all available data to provide us with awareness about the intricacy of this injury. An extensive literature review was conducted on PubMed/Medline, Cochrane, and Science Direct databases with the eligibility criteria of 1) Retrospective study, observational study, or case report study. 2) Full article available for the last ten years. 3) Article in English. The search was done under PRISMA guidelines and gradually filtered down to relevant articles, which were 16 in number. There are several complications of pelvic fracture, with incidence varying in the literature. We divide the complications after pelvic fracture into three groups: early, intraoperative, and post-operative. Early complications are shock due to vascular injury, nerve injury, and urogenital injury. Intraoperative complications include lateral femoral cutaneous nerve (LFCN) damage, femoral nerve injury, mal-reduction, screw malposition, and vascular injury. Post-operative complications are chronic pelvis pain, surgical site infection, pneumonia, urinary tract infection (UTI), decreased sexual function, thromboembolic accident, pressure ulcer, and fixation failure. Pelvic fracture surgery has several complications. Complications divide into early, intraoperative, and post-operative complications. Awareness of complications is essential for the comprehensive management of pelvic fractures.