The aim of the study was to assess the medical teachers' preference for various lecture delivery methods like the lectures using chalkboard, utilizing transparencies with an overhead projector (OHP) or lectures using a PowerPoint presentation and their frequency of use of teaching aids. The faculty of the medical college was asked to fill in the structured questionnaire about their utilization and perception of the three methods of lecture delivery, viz: Chalkboard, Transparencies and OHP (TOHP) and the PowerPoint (PPT) presentation. They were also interviewed further in the light of analysis of the questionnaire. Majority of the teachers, that is, 48.66% used chalkboard for teaching, 29.95% of teachers used TOHP and 21.39% used PPT presentations in during lecture. As far as the teachers' preference is concerned, 40.47% of them preferred chalkboard, 28.43% of teachers preferred TOHP and 31.1% of teachers preferred using PPT presentation during lecture. Some important comments of the teachers were also recorded on interview. The conclusion of the study is that the dominant form of lecture delivery is still the chalk and talk approach. However, other teaching aids have their unique advantages and supplementing chalkboard with PPT or TOHP enhances the impact of the lecture. (Contains 2 tables and 1 figure.)