Introduction: Pre-operative planning is one of the most important aspects in surgical treatment of patients in modern day surgery. It helps in reducing the common errors before and during surgery and hence saves time, labour and benefits the patient. Materials and Methods: In this study, we analyzed the role of pre-operative checklist in planned orthopaedic surgical procedures. We included adult trauma patients who had closed fracture of upper or lower limb and were planned for surgery. One group of patients were monitored and worked up pre operatively as per routine protocols. The second group of patients was strictly monitored according to the points given in the pre-operative check list applied in their case file. Results: The mean age of the patients was 43.46 years. Majority of patients were males (68.44%). 518 patients were operated by closed techniques. Open techniques were used in 588 patients. The average time taken for surgery in patients in Group A was 59.94 min. (SD 17.66) while that in Group B was 87.72 min. (SD 19.47) Average hospital stay for patients in Group A was 4.34 days (SD 1.77) and for those in Group B was 6.10 days (SD 3.10). There was also variation in the expenditure occurred in the OT in both the groups with an average of Rs. 7146.85 (SD-1869.50) in the Group A and Rs. 8608. 85 (SD-1543.02) in Group B. We also evaluated the individual outcome of different types of fractures in both the groups. Conclusion Pre-operative planning in treatment of fracture is an important professional discipline, and familiarity with the process makes it very quick for treatment of fractures. We highly recommend the use of this pre-operative check list criterion to be used in all the surgeries of orthopaedics, especially in elective cases.