Caesarean birth, once a rare and often life-saving procedure, has become a cornerstone of modern obstetric practice. Its evolution over the years has reshaped the landscape of childbirth, offering a solution to various complications that may arise during labor, such as fetal distress, maternal health concerns, and abnormal presentations. Today, caesarean sections account for a significant proportion of deliveries worldwide, providing patients with the benefits of a safer childbirth experience in certain clinical scenarios. For obstetricians, mastering the indications, technique, and postoperative care of caesarean births is essential to ensuring the best outcomes for both mother and child. This manual is designed to serve as a comprehensive guide for both novice and experienced practitioners seeking to expand their knowledge and skills in caesarean birth. From the historical roots and evolution of caesarean procedures to the current best practices, it offers a structured approach to understanding the technique, along with practical advice on managing complications and optimizing outcomes. Whether performing an elective or emergency caesarean section, the goal remains constant: to provide the safest and most effective care for both the mother and her baby.