This is the 1st episode in a 4-part series covering complications at the time of vaginal delivery.  This episode is brought to you by Leah Rusnell a fourth-year medical student at the University of Saskatchewan in Regina. Today we will discuss operative vagina delivery. After listening to this episode, learners will be able to: 1. Classify OVDs, also known as operative vaginal deliveries, and discuss the instrument options available to perform an OVD. 2. Identify the indications for and contraindications to an OVD. 3. Identify the fetal and maternal risks associated with OVD in comparison to a caesarean section. 4. List the pre-requisites and steps required to perform an OVD.