Hip fracture is a common traumatic disease in elderly patients. These patients are more likely to develop a variety of comorbidities and complications. Improper anesthesia evaluation and management may lead to significant decreases in postoperative complications and mortality. In the current case, the patient was injured in a traffic accident, while developing preoperative non‑ST segment elevated myocardial infarction (NSTEMI) and recurrent heart failure, in addition to diabetes and sequelae of cerebral infarction. After preoperative assessment and treatment, a series of measures were taken, such as prevention of myocardial ischemia, lung protective ventilation strategy, replacement of extubation by laryngeal mask under deep anesthesia, and multi‑mode anesthesia, and surgical anesthesia stress was well controlled and the patient was discharged. The experience of this case was summarized, so as to provide reference for evaluation and management of anesthesia for elderly hip fractures.