A retrograde study of 800 women who had undergone Caesarean section in Karuna Medical College hospital in Kerala was done in order to analyze the various aspects of prevalence, surveillance and evaluation in relation to the surgery done. The Caesarean section rate nowadays is on crescendo due to institutional deliveries, middle socioeconomic status, and higher education. The following variables age, socio–economic status, educational status, BMI, parity, co morbidities, clinical findings and postoperative findings were noted. The incidence of Caesarean was at maximum in the age group of 25 to 35 years. Most of the Patients had repeat Caesarean section. In the repeat Caesarean section, indication was previous LSCS. The second most indication was fetal distress. The analysis showed the age of the mother plays a major role. The increase in the incidence of Caesarean section is due to complications in pregnancy. Study brings out the associated factors like age parity the number of ultrasonography and educational status which influence the rate in the incidence of caesarean section