Introduction: Aggressive behavior of primary bone tumors can occur with benign, intermediate and malignant tumors. There is a debate regarding the type of surgical intervention. The current retrospective study examines the outcome of excision, bone graft and fixation surgery. Patients and Methods: Nine patients with different types of primary bone tumors were treated by wide excision of the lesion under C arm guidance, replacing the defect with freeze dried allograft (two patients), synthetic bone graft (one patient), autogenous structured iliac or tibial or fibular bone graft (6patients). The current series tumor staging was II-A in 5 patients and II-B in four patients; according to Enneking’s classification. Results: Mean follow-up period was 2 years. The result was good in 7 patients with no recurrence of tumor with bone graft healing, and a satisfactory function of the limb. One patient had A damintinoma of the tibia, despite several operations, the tumor recurred. Conclusion: Using different types of bone graft, and implants after excision of primary tumor with a safety margin; will restore the function and is associated with a good outcome.