Objective To investigate the effect of a discharge planning intervention based on the Fracture Liaison Services （FLS） model on elderly patients with femoral fragility fractures. Methods A total of 120 elderly patients with femoral fragility fractures were divided into the control group and the observation group according to the wards, with 60 cases in each group.The control group received perioperative nursing and discharge follow-up according to the routine clinical nursing pathway, while the observation group received perioperative nursing during hospitalization according to the routine clinical nursing pathway and implemented a discharge planning intervention program based on the FLS model. Results A total of 53 cases in the control group and 50 cases in the observation group completed the study.At 3 and 6 months after discharge, the functional exercise compliance and Morisky medication compliance scores in the observation group were significantly better than those in the control group, and the incidence of home falls and readmission rate of new fragility fractures in the observation group were significantly lower than those in the control group 9 months after discharge (all P＜0.05). Conclusion The discharge planning intervention, based on the FLS model, can help enhance functional exercise compliance and medical compliance behavior among elderly patients with femoral fragility fractures.This intervention also reduces the risk of new fragility fractures and falls at home, ultimately improving the long-term quality of life for these patients.