Background: Miscarriage is the spontaneous loss of a pregnancy prior to viability. Dilatation & Curettage is most common and thought to be very much successful in complete evacuation of conception material. But D&C is interventional and unease and requires expertise and time moreover. With the advancement of science and technology, manual vacuum aspiration method is introduced to manage miscarriage or missed abortions. Objective: To compare patients satisfaction between manual vacuum aspiration and Dilatation & curettage in females with missed miscarriage. Study Design: Randomized Controlled Trial. Material & Methods: Department of Obstetrics and Gynaecology, Sir Ganga Ram Hospital, Lahore: Data Collection: Sample size of 300 cases (150 each) was included and divided randomly into two groups. In group A, D&C was done and in group B, MVA was done. Patients’ satisfaction for MVA and D&C was assessed immediately after procedure. All this information was recorded on proforma. Results: The mean age of the patients was 23.50±3.63 years. The mean gestational age of patients was 8.46±1.61 weeks. In this study 184 patients were satisfied with the procedure used in which 113 (75.3%) were from MVA group and 71 (47.3%) were from D&C group. Statistically significant difference was found in both groups (p =0.000). Conclusion: It was concluded through results of this study that MVA is more successful in achieving patients’ satisfaction as compared to D&C. Keywords: Miscarriage, Missed Abortion, Dilation & Curettage, Manual Vacuum Aspiration, Patient Satisfaction