Jammu and Kashmir has attained a dubious distinction in Caesarean section (C-section) deliveries. National Family Health Survey (NFHS-6) has revealed that 51 per cent of births in Jammu and Kashmir were delivered through caesarean section during 2023-24, up from 41.7 per cent recorded. Our C-section deliveries are almost double the national average. India’s national C-section rate rose sharply from 21.5 percent in NFHS-5 to 27.2 percent in NFHS-6. This exceeds the WHO’s optimal threshold of 10–15 percent. The NFHS-6 survey found that caesarean deliveries were significantly more common in urban areas. Over 68.9 per cent of births were delivered through C-section in J&K’s urban areas, compared to 47.1 per cent in rural areas. The increase has been particularly pronounced in private healthcare institutions, where 90 percent of births were delivered through caesarean section in 2023-24, compared to 82 per cent during 2019-21. The trend was not limited to private hospitals. Caesarean deliveries in public health facilities rose to 48 per cent in 2023-24 from 42.7 per cent in the previous survey period. The only silver lining is the increase in institutional deliveries. Over 93.6 percent of total births took place in health institutions. These include 97.3 percent in urban areas and 92.8 per cent in rural areas. A C-section is a surgical procedure used to deliver a baby through incisions in the abdomen and uterus. According to the guidelines laid down by the World Health Organization, the procedure should only be used in complicated pregnancies. However, the WHO rules are being flouted with impunity. Both patients and doctors are responsible for this practice. Some women prefer caesarean section deliveries to bypass labour pain. The thinking is against the guiding medical principles. Cashing in on this absurdity, doctors too go for C-section. It saves them time, and they can go home after the procedure, leaving post-operative care to juniors or paramedics. Normal deliveries are time-consuming. Doctors have to wait for the labour. In the fast-paced world, they too use shortcuts. An incision on the abdomen and the baby is out. However, it is fraught with danger. There are side effects which may go unnoticed in the first place. But at a later stage, they will crop up. By then it will be too late. Jammu and Kashmir government has a responsibility to put an end to this practice. Doctors and hospitals should be held accountable for any C-section procedure. Doctors in both the private and public sector should justify the C=section procedures. The government should order a C-section audit in all healthcare facilities. The report should be made public. Those involved in the unnecessary C-section deliveries should be dealt with according to law. Like the PNDT Act, a new law should be enacted to regulate C-section deliveries. The government needs to take tough measures without succumbing to pressure tactics.