Colles fracture is the most common fracture in women middle-aged and elderly as can be seen, the variety of treatments used for resolution highlighting: the conservative surgical technique (percutaneous brads included in the cast) and management. These aspects determined conducting an observational, cross-sectional, retrospective study, where 60 cases were reviewed. Of these, 30 were treated with surgical intervention and 30 with conservative management to establish the most effective, considering the variables of morphology, mobility and pain of the affected upper extremity. The study showed that the surgical method obtained a higher rate of excellent and good results in all the variables analyzed against the conservative method, as well as a lower rate of regular and bad results, concluding that the difference in benefit cost is minimal and best results are obtained.