Pelvic fragility fractures are osteoporotic pelvic fractures and insufficiency pelvic fractures caused by the low-energy injury or stresses in daily livings in the elderly more than 60 years, which are common and the incidence is increasing with the aging population in our country. Standardized diagnosis and treatment of fragility fractures of the pelvis (FFP) are of great significance to clinical work and social development. This clinical guideline was initiated by the Trauma Orthopaedic Branch of Chinese Orthopaedic Association; the External Fixation and Limb Reconstruction Branch of Chinese Orthopaedic Association; the National Clinical Research Center for Orthopaedics, Sports Medicine & Rehabilitation; the Faculty of Orthopaedics of Chinese PLA general hospital; the Third Hospital of Hebei Medical University. The grading of recommendations assessment, development and evaluation (GRADE) approach and the reporting items for practice guidelines in healthcare (RIGHT) checklist were adopted. Finally, 23 evidence-based recommendations were formulated based on 23 most concerned clinical problems among orthopaedic surgeons in China. This guideline is intended to improve the scientific nature of FFP diagnosis and treatment and improve the quality of patient-centered medical services ultimately.