Background: Instrumental delivery is an art that is fading and may disappear in the near future as more and more obstetricians are resorting to caesarean sections. Instrumental vaginal deliveries comprise the use of vacuum assisted devices and /or forceps to assist in delivering a fetus, offering the alternative to accomplish vaginal delivery in properly selected cases thereby reducing maternal morbidity in terms of blood loss and increase hospital stay which is a consequence of cesarean sections. The objective of the present study is to compare the feto-maternal outcome between forceps and ventouse delivery at tertiary care hospital in West Bengal. Methods: The present hospital based prospective comparative study was conducted in the Dept of Gynae and Obstetrics, College of Medicine & Sagar Dutta Hospital, Kamarhati, Kolkata, West Bengal, India between January 2023 to August 2023. A minimum of 150 patients were taken up for study. 75 women delivered by outlet forceps delivery and 75 women by vacuum delivery. Cases which require instrumental vaginal delivery and fulfilling the inclusion criteria for forceps or vacuum were taken up for the study, after taking informed consent. Maternal outcomes including episiotomy wound and extension, perineal tear, post-partum hemorrhage, hospital stay was analyzed and compared. Statistical data were analysed by using Microsoft Excel and SPSS V.20 software. Results: The mean age of women in our study was 27±3.16 yrs in ventouse and 18±4.68 yrs in forceps group. In present study 57.33% of ventouse deliveries and 69.33% forceps deliveries were carried out in primigravida. Mean birth weight in our study was 2.68±0.38 kg Most common indication was Fetal bradycardia 27 (36%) in ventouse delivery and Meconium stained liquor (MSL) 22 (29.3%) in forceps delivery and 21 (28%) in ventouse delivery. The maternal morbidity was significantly less in ventouse group as compared to forceps group (p<0.05). Episiotomy extension was 30.67% in forceps delivery and 18.67% in ventouse delivery. The risk of neonatal morbidity was similar between infants delivered by ventouse or forceps. Cephalhematoma was present in 20% in forceps delivery and 14.67% in ventouse delivery. Conclusion: With the expertise and appropriate decision on the indication and meticulous handling of the instrument whether outlet forceps or vacuum, especially in a tertiary care centre, the maternal outcome is equally good with both the instruments.