As a Consultant Obstetrician and Gynaecologist, I have been thinking about how best to advice women who ask about the benefit to them of avoiding a vaginal delivery and having an elective caesarean section instead. Sometimes there are clinical reasons why a Caesarean may be advised. However, sometimes women will request a Caesarean section when there is no obvious reason to indicate this is necessary. Despite some press statements to the contrary this is still a relatively unusual request. I suppose my answer will depend on what the woman is concerned about, what her choices are, her experiences, her physical and psychological well-being.