PIP: A survey was conducted in the Lahore District of West Pakistan and in the Mymensingh District of East Pakistan in 1968 to compare the field performance of medical personnel and paramedical personnel in the IUD program. Of the completed interviews, 61 (30.3%) of the IUD insertions were done by medical personnel and 140 (69.7%) were done by paramedical personnel 3 months previously. The expulsion rate for medical insertions was 21.3% and for paramedical insertions it was 19.3%. The removal rate for medical insertions was 18.8% and for paramedical insertions it was 17.1%. It is noted that the high expulsion rate may have been due to the clients reluctance to admit self-removal or to improper insertion technique. 65.6% of the IUD patients who were inserted by medical personnel registered complaints and 53.6% of the IUD patients who were inserted by paramedical personnel complained. Of the 74 cases interviewed by the author, 80% of the removals were due to bleeding and/or pain. It would appear from the results of this study that the paramedical personnel's performance in the IUD program was comparable to that of the medical personnel's.