Manual vacuum aspiration is employed for the evacuation of retained products of conception or incomplete abortion. A five-year review of manual vacuum aspiration was conducted at the University of Port Harcourt Teaching Hospital from January 2012 to January 2017. The aim of this study is to evaluate prevalence, indicators and complications associated with manual vacuum aspiration at University of Port Harcourt Teaching Hospital. The data was collected from the manual vacuum aspiration book. The study revealed that 1453 patient had Gynaecological Surgeries, out of which 320 had manual vacuum aspiration, putting the prevalence of manual vacuum aspiration at 20.7%. The mean gestational age and patients age were 11.10  3.69 and 30.07  5.62. The distributions of the indications for manual vacuum aspiration were incomplete miscarriage 318 (99.40%), missed abortion 2 (0.60%). No complication was documented for all the manual vacuum aspiration done. There was no significance in the maternal age and or gestational age predicting manual vacuum aspiration. Manual vacuum aspiration was considered a highly effective, simple and necessary gynaecological procedure with little or no complication. Training of medical personnel on manual vacuum aspiration procedure is strongly recommended to ensure a safe and effective uterine evacuation. The statistical analysis was carried out using Chi square test.