: Most clavicles have been treated properly, but currently, there is an increasing trend towards the effective management of clavicle fractures. Aim is to compare the radiological and functional effects of conservative treatment and operative management in the patients with clavicle midshaft fracture. 30 patients with fracture midshaft of the clavicle were randomly assigned to operative or nonoperative treatment. Results had been analysed based on the results of the operation with the radiological union based on the Constant- Murley score. There were no differences between the two groups in terms of the number of patients, the pattern of injury, or the pattern of fracture between patients who completed the six-month follow-up. Between the two groups of subjects, the Constant-Murley score was similar. Compared with the non-operative group, the operative group union time was 14.57 weeks compared with 16.04 weeks of a non-operative group. Two non-union cases were detected in the non-operative group and one in the operative group. After six months, the patients in the operative group were satisfied with the results regarding their condition compared to those in the non-operative group. An improved clinical and functional outcome is not achieved by plating displaced clavicular fractures after six months of follow-up, but the likelihood of non-union is significantly reduced. Nevertheless, patients in the operative group were more likely to be satisfied than their counterparts in the non-operative group. In light of this, we suggest a patient-specific, individualized treatment, which takes into account functional demands, fracture characteristics, and non-union risk factors..