This chapter provides detail description of instrumental delivery. The chapter has 6 well illustrated diagrams and pictures. Forceps delivery, types of forceps, indications for instrument delivery, prolonged second stage, fetal indications, maternal indications, prophylactic forceps, trial of forceps, pre-requirements of forceps application, preparations for forceps delivery, forceps applications, traction, forceps extraction in abnormal presentation and position, forceps rotation of occiput transverse position by Kielland forceps, forceps delivery of face presentation, forceps in contracted pelvis, failed forceps, fetal risk, vaccum, debate on forceps/vaccum, maternal and fetal complications are described in detail. 3 tables are included to highlight classification of forceps and vaccum delivery, prerequisite for assisted vaginal delivery and indications and relative contraindications of vaccum extraction. 36 references are given. References are included at the end of each section to facilitate further reading.