One of the most common reasons mothers request elective caesarean section is an intense fear of childbirth and vaginal delivery, known as tokophobia.[1] As elective C-sections become more common, it is important to consider mothers' reasons in the context of informed decision-making, bodily autonomy, and psychological health.[1] Unnecessary C-sections carry risks such as infection, bleeding, and longer recovery time.[1] Dismissing mothers' concerns can undermine trust between women and the health care system.[1] A balanced approach that acknowledges mothers' fears and preferences while offering evidence-based guidance is essential for ethical and patient-centered obstetric care.[1] Medical indications include obstructed labor, hypertensive disorders, infections, previous uterine operations, and certain chronic diseases.[1] Obstructed labor, often caused by cephalopelvic disproportion or abnormal fetal position, is one of the main indications for caesarean section and can lead to complications such as uterine rupture, fistulas or sepsis.[1] Careful diagnosis and individualized decision-making are important so that cesarean sections are performed based on medical indication, not non-medical preferences.[1]