Pelvic ring injuries are serious life-threatening injuries. They are frequently seen especially in young people after high-energy traumas, and this condition may be accompanied by additional injuries. Today, death in hemodynamically unstable patients is attributed to additional injuries and subsequent complications. Therefore, a multidisciplinary approach is required for the recognition and management of these injuries. In the emergency management of pelvic fractures, the first stage should be aimed at bleeding control, stabilization of hemodynamic status, and prevention of complications. Bone intervention is the second stage. The timing of final internal fixation in unstable pelvic ring injuries is a matter of debate. The benefits of early fracture fixation and the potential side effects of excessive surgical load should be evaluated according to the patient`s physiology and decided on a patient-specific basis. Timely and appropriate intervention in a patient with a pelvic fracture can minimize mortality and complication rates. A multidisciplinary approach to these patients is important to reduce morbidity.