Objective: In view of rarity of elevated skull fractures, this paper was written with aim of making all neurosurgeons familiar with this rare injury, its management and prognosis. Material and methods: We operated five patients of compound elevated skull fractures over a period of last 5 years. Mode and mechanism of injury, extent of injury, clinical presentation, course of disease and outcome with treatment were studied. Results: Four out of these five patients improved after surgery without any complications. Conclusion: Early recognition and appropriate management of compound elevated skull fractures gives good outcome and prevents unnecessary morbidity and mortality. Copyright (C) 2012, Neurotrauma Society of India. All rights reserved.