This study was carried out to determine the maternal and perinatal outcome in singleton term breech presentations in the pretext of mode of delivery so that appropriate management protocol can be devised without compromising fetomaternal well being. This observational prospective study was carried out in obstetrics and gynae unit of HMC, Peshawar from first January 2000 to 31st December 2000. All singleton term breech presentations were enrolled. Exclusion criteria included multiple pregnancies and preterm pregnancies. Data collected included age, present and past obstetric history, type of breech presentation, mode of delivery, indication for caesarean section either elective or emergency, fetal outcome and maternal complications. Proper selection of cases for vaginal delivery, gigorous intrapartum monitering and proper technique of breech delivery have been established as the most important determinanat for successful outcome in vaginal breech delivery without compromising fetomaternal well being and curtailing the caesarean section rate done for this mal presentation.