Background: The trauma, a world public health problem, has been a major reason of mortality and morbidity, as it affects over fifty million people today, an aggravated circumstance in urban centers, mainly due to the increasing number of vehicles and the aggressiveness in traffic which cause accidents with high energy and leading to an increase in the number of deaths and injuries. Among the orthopedic traumas, pelvic injuries are considered the 3rd reason of death due to car accidents; represent 20% to 25% of fractures in multiple traumatized patients. However the pattern of pelvic fracture is not known in our setting. Objectives: The purpose of this study was to analyze the mechanism, classification and associated injuries in pelvic fracture in patients presenting to Tibebe Ghion Specialized Hospital Emergency Department (TGSH ED), Bahir Dar, Ethiopia. Methods: A Retrospective cross sectional study was conducted on patients who were seen at emergency department TGSH, Bahir Dar University, Bahir Dar, Ethiopia with a diagnosis of pelvic fracture from January, 2019 GC- September, 2020 GC with a diagnosis of pelvic fracture. Diagnosis and documentation made by orthopedics residents were acceptable as reliable result from chart review. The data was collected using structured pretested data collection tools and analyzed using SPSS for windows version 20.0. Results: In this study, a total of 64 cases with pelvic ring fracture were reviewed. Fifty-six (87.5%) were male and 8(12.5%) were female with male to female ratio of 7:1. The mean age of affected individuals was 31.93 years with standard deviation of 12.1. Fifty two (81.3%) patients had associated injury of various type. The most common associated injury in this study were lower extremity 23(35.9%) and abdominal injuries 16(25.0%) and most of them (56.3%) had Tile A fracture comprising. Road terrific accident was the major cause of pelvic fracture accounting for 56.3% of cases followed by fall down (28.1%) and bullet injury (12.5%). Conclusion: According to this study the most commonly affected with pelvic ring fracture was male with M: F ratio of 7:1. Commonly affected population was in productive age groups (15-35 years) and most of the Victims were due to road traffic accidents and more so pedestrians and passengers. Fall down from a height accounts also significant number. The majority of pelvic fracture patients in this study were diagnosed as Tile A fracture. Abdominal, lower extremity and ureteral injuries were the major associated injuries for these patients. . Keywords: Pelvis, Fracture, Mechanism of Injury, Tibebe Ghion Specialized Hospital.