Introduction: The assessment of MBBS phase I under Rajiv Gandhi University of Health Sciences(RGUHS), Karnataka, India has two components - theory and practical. The theory assessment is uniform among all students and the majority of the ques tions are in the structured format to ensure objectivity. But this is not so in the case of the practical examination. Objectives: To evaluate the various factors influencing the MBBS phase I practical examination from the student perspective. Methods: The procedure and the intent of the feedback were explained to the students. The feedback of students regarding the University practical assessment was obtained by using a structured questionnaire. The questionnaire consisted of nineteen questions based on five points Likert__ampersandsignrsquo;s scale and two open-ended questions. The respondents__ampersandsignrsquo; agreements/disagreements were noted. The feedback was taken from 478 undergraduate medical __ampersandsignamp; dental students after the RGUHS practical examinations. Each question was analysed on Likert__ampersandsignrsquo;s scale and the percentages were tabulated. Results: The analysis of the questionnaire indicated that 82% __ampersandsignamp; 77% of students have agreed that the assessment is fair __ampersandsignamp; uniform respectively. 38.5% have felt the practical assessment to be stressful while 41.3% felt it was not stressful. Around 63% to 69% of students felt luck, chance factors and examiner related factors influenced their scores. Conclusion: The students have felt the traditional practical examination to be fair, uniform, with no bias to a certain extent, yet stressful with chance factors such as luck, communication skills and examiner related factors influencing their scores.