This book is written realizing the need of an operative obstetrics with surgical details with titbits of every step with abundant illustrations both original and diagrammatic. This manual consists of 30 chapters starting from basic surgical skill development to postoperative complications. Each area of obstetrics which is associated with maneuvers and operative procedures has been covered with relevant theoretical background with the latest information and description of maneuvers and procedures. In each procedure the indications, preoperative considerations, detailed steps, postoperative management, potential complications and their prevention and management have been described in lucid language with case scenario in many cases. The book is incorporated with 278 original figures and 531 drawing arts which have made understandable, more live and attractive. The author has shared his experiences and also from his colleagues to make this manual practical as far as possible.