Introduction: Operative vaginal delivery is now decreased due to medical litigation and due to lack of expertise and under training of residents. Here complication of operative vaginal delivery are all taught by lecturer and assistant professor. IVD is done by postgraduate residents under the guidance of lecturer, if any difficulty or complication is overtaken by Head of unit. Objective: To compare the fetomaternal outcome in vacuum assisted vaginal delivery and forceps assisted vaginal delivery. Study design: This prospective study was carried out in patients undergoing instrumental vaginal delivery during the study period. Subjects & methodology: This study was conducted at the Department of Obstetrics and Gynecology, Government medical college, Aurangabad during 2 years. (from 2020 to 2022) patients requiring operative vaginal delivery. Most common age group in present study was 18- 25 years in both groups ( 56.31 % vacuum,64.95 %- forceps). Instrumental vaginal deliveries were common in patients with >37 weeks of gestation. In present study most common indication for Instrumental vaginal delivery (vacuum & forceps) was foetal distress ( 48.54 and 47.42 %) followed by maternal exhausation (5.8 snd 48.64%). Facial injuries and abrasions was most common neonatal complication in present study (12%). Conclusion: Results of the present study indicate that both modes of instrumental vaginal delivery are safe with respect to maternal morbidity and neonatal trauma.