Introduction: Distal tibial fractures represent a significant challenge to most of the surgeons even today. They constitute 1–10% of all lower extremity fractures. Surgery is the mainstay of treatment for most tibial fractures caused by high energy trauma. Operative treatment leads to early mobilization, avoids shortening and other complications that occur due to prolonged immobilization. Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a technique which reduces iatrogenic soft tissue trauma and damage to bone vascularity, as well as preserves the fracture hematoma which has osteogenic properties. Material and Methods: In the present study, we operated 25 patients with extra articular tibia fracture with MIPPO technique with distal tibia medial locking plate over period of two years and the results were analyzed. Results: At the end of the study of 25 patients treated 14(58.3%) patients had excellent outcome, 6(20.8%) had good results, 4(16.7%) had fair outcome and 1(4.1%) had a poor results. Fractures of 02 (08%) patients united in 16 weeks, 5(20%) patients united in 18 weeks, 10(40%) patients united in 20 weeks and 08 (32%) patients united in 22 weeks. All cases fibula fracture healed without complications. Conclusion: Extra articular distal tibia fracture can be effectively treated with MIPO technique using medial distal tibial locking plate.