The objective of this chapter is to highlight the importance of auditing of clinical outcomes. Clinical audit has been defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. The benefits of a properly conducted audit are multifold—affecting not only the patients but also their caregivers (clinical staff) and the management too. The audit cycle is a series of steps that are involved in a complete audit. This cycle is closely interlinked with the re-audit cycle which is used to audit the changes that were suggested in the first audit—a sort of closing the loop process. A standard is an explicit statement describing the area of care that is being measured. The recommendations of standards are usually from international bodies such as the Royal College of Obstetricians and Gynecologists (RCOG), American Society for Reproductive Medicine (ASRM), European Society of Human Reproduction and Embryology (ESHRE), etc. Local consensus of expected practice norms may also be used. Data collection, data analysis, writing an audit report, recommendations for change, scope of the audit, and audit report are the important topics which are also discussed in this chapter.