Ceasarean section on maternal request is defined as a ceasarean delivery for a singleton pregnancy on maternal request in absence of medical or obstetrical indication. Obstetrics is a speciality dealing with two lives, closely linked whose interest may not always coincide. Ceaesarean section is a major surgical procedure with potential risk to mother and neonate. Intense psychological fear of childbirth is termed as tocophobia. This fear is expressed as fear of pelvic floor injury, of requiring emergency caesarean section, of loosing the baby. Such factors lead to ceasrean section on demand. In India, the family sometimes demand that baby is born on auspicious date and time. Physician must decide according to principles of autonomy, beneficence, non-malificence and distributive justice. Physician’s perspective is from legal, financial, ethical aspects. Caesarean section on maternal request has social, cultural, psychological facets. Obstetritian should explain risk-benefits of the procedure to the patient and take the decision on ethical guidelines. 

Keywords: Caesarean Section; Maternal Request; Ethics; Vaginal Delivery; Autonomy; Justice.