Instrumental vaginal delivery is becoming a lost obstetric art with the increasing rates of caesarean sections. But many of these caesarean sections along with their share of mortality and morbidity can be avoided only if the attending obstetricians had adequate knowledge and experience to make them confidant with forceps or ventouse. Both the forceps and ventouse have been adequately but briefly described in this section along with their classifications, indications, contraindications, prerequisites, their advantages and disadvantages over each other and how best to use them. Rotational forceps, which has been in oblivion for some decades and now again being revived as a master tool in expert hands, is also described.