I had a foreceps delivery with DS1 after 3 hours of pushing and not progressing. My doctor (who is a family doc who delivers and who is also a friend) gave me the option of a c-section or foreceps. I was terrified of a c-section but not a big fan of foreceps. Fortunately, the OB on-call that day is a forcep specialist and is also one of the authors of the book given out to all moms-to-be at birthing classes in Canada (Healthy Beginnings).
Foreceps were still not commonly used so not only did I have the OB in the room, my doc and her resident, my L&D nurse, we also had about 15 people who asked if they could come in to observe (because the OB is just that good with the foreceps). There were certainly a lot of people who got the view "south of the border"!
DS1 had his head turned slightly at an angle with his hand up near his face which was why it was tough to push him out. He had a slight indentation on his face (which was gone in a few hours) and no bruising at all. I had very minor tearing -- it was barely a 2nd degree tear and just a couple stitches. I was discharged the next day and had no residual issues, felt great in a few days.
I was very happy with my decision but that was only because the OB was so skilled.