Lacerations are the result of trauma during vaginal delivery and they can be cervical, vaginal, labial, urethral, periurethral, periclitoral, perineal, or perianal in location. Lacerations are common, occurring in 53% to 79% of all vaginal deliveries.[1],[2],[3] Obstetric trauma during vaginal delivery may lead to increased medical costs that include longer hospital stays, additional procedures, and poorer health outcomes for patients. Lacerations can be complex, based on depth of injury or anatomic location. They may require multilayered closure, hemostasis of multiple bleeding points, evacuation of hematomas, and the involvement of a multidisciplinary care team. Given the potential impacts on patient outcomes and health care costs, the US Department of Health and Human Services Agency for Healthcare Research and Quality includes measures to assess and monitor obstetric trauma as one of its Patient Safety Indicators.[4] OB/GYN hospitalists can lead their institutions in the early identification and immediate safe treatment of complex lacerations during and after vaginal delivery. OB/GYN hospitalists can implement cost-effective multidisciplinary approaches to improve outcomes and reduce long-term dysfunction.