Fragility fractures of the pelvis (FFP) represent a distinct category of pelvic fractures occurring in the context of osteoporosis and resulting from low-energy trauma. They exhibit significant differences from high-energy traumatic pelvic fractures in terms of pathological mechanisms, clinical presentation, radiographic characteristics, and treatment strategies.Due to their often insidious nature and tendency to be overlooked, FFPs frequently lead to persistent pain, functional impairment, and reduced quality of life. This imposes a substantial burden on aging societies.As China progressively enters an era of population aging, FFPs have increasingly become a central topic within the multidisciplinary domain. This article focuses on the classification of FFPs, diagnostic challenges and strategies, and therapeutic advancements, among other aspects, aiming to review the current status and ongoing challenges in their diagnosis and management.