Background: Vaginal deliveries accomplished with the use of forceps or vacuum device (ventouse) are termed as operative vaginal deliveries. Materials and methods: A unicentric, retrospective study was conducted in the department of Obstetrics and Gynecology of R.G Kar Medical College, Kolkata, West Bengal, India to compare the maternal and fetal effects of forceps vs ventouse delivery over a period of three years (2020 to 2022). Log book records collected over the said period of time was analyzed using Spss software. Comparison was done using Chi square (χ2)test. P value< 0.05 was considered statistically significant. Results: Third and fourth degree perineal tears and traumatic PPH were more with forceps delivery in all three years (P < 0.05). The highest rate of failure was seen with ventouse application in 2020 (4.61%). In our study, ventouse delivery was associated with lesser maternal trauma but was accompanied by increased fetal complications like cephalhematoma and severe jaundice. Conclusion: Instrumental delivery when performed by skilled operators and after correct judgement, can be very useful to reduce unnecessary Caesaren section rates. Training of residents is therefore mandatory for obtaining optimum and efficient use of either instrument with minimal maternal and fetal complications.