This handbook has been designed to introduce trainees to safe surgical techniques and obstetric skills in a structured workshop environment. It is the course manual for the Basic Practical Skills in Obstetrics and Gynaecology course offered under the aegis of the Royal College of Obstetricians and Gynaecologists. The manual consists of three modules covering: basic open general surgical techniques (such as instrument handling, suturing and knot tying), basic obstetric skills (such as pelvic anatomy, instrumental delivery and shoulder dystocia), and basic gynaecological procedures, including hysteroscopy and laparoscopy. The course and the manual provide a valuable early step towards building safe and sound surgical and obstetric skills, giving trainees a firm foundation for their future careers in obstetrics and gynaecology.