OBJECTIVE :The main objective of the study was to analyze the rate and indications of caesarean sections in our hospital, which is a lone tertiary care hospital of Kashmir. MATERIAL AND METHOD: Our study was a retrospective study conducted in Department of obstetrics and Gyneacology, Lalla Ded hospital, Government Medical College, Srinagar Kashmir from July 2019 to December 2019. RESULTS: A total of 10,866 births occurred in the study period, out of which 7210 ( 66.35%) were caesarean deliveries. Majority of caesarean deliveries were done as emergency cases (92.45%) while as only 7.54% of cases were done on elective basis. 65.54% of patients belonged to age group 31–40 years. Majority of cases were primigravida (53.93%) while as 38.2% were G2–G4. Our study reported the primary caesarean rate of 70.31% while as repeat caesareans were 29.68%. Fetal distress was the leading indication for caesarean section (32.76%) followed by previous one scar (16.85%).CONCLUSION: The rate of caesarean deliveries in our hospital was 66.35% with fetal distress followed by previous one caesarean as most common indication