Background: In some vaginal delivery additional assistance is employed to assist vaginal delivery by using forceps or vacuum extraction applied to the baby’s head. Assisted vaginal delivery may occur when the second stage of labor is prolonged or when the baby appears to be distress and delivery time needs to be accelerated. Aim: The aim of the study was to assess the knowledge and practice level of staff nurses regarding AVD (Assisted Vaginal Delivery). Objectives: 1.To determine the knowledge of staff nurses regarding assisted vaginal delivery. 2. To determine the self reported practice of nurses in implementing assisted vaginal delivery. 3. To find out the relationship between knowledge and practice of staff nurses in implementing assisted vaginal delivery. 4. To find out the association between the knowledge score of staff nurses and selected baseline variables. 5. To find out the association between the practice of staff nurses and selected baseline variables. Methodology: 60 staff nurses from Bhagath hospital were selected by using non probability purposive sampling technique. Conclusion: Majority of the staff nurses (53.33%) had good knowledge and 41.66% of them have satisfactory knowledge. Majority of the subjects, 60% of them have satisfactory knowledge regarding AVD. The majority of the subjects (78.33%) were having very good practice of AVD. There was a weak positive relationship between knowledge and practice of staff nurses regarding implementation of AVD.