OBJECTIVE To review the caesarean sections (C/S) performed at Sultan Qaboos University Hospital (SQUH), Muscat, Oman, over a period of three years. METHODS The records of 727 patients who underwent C/S at SQUH during the three year period from 1st July 1998 to 30th June 2001 were analysed. RESULTS The C/S rate during this period was 13%, 42.6% of which were repeat C/S. Most were performed on women in the age group 26-30 years and of parity 2-3. The majority of the caesareans were at term and done under general anaesthesia. The most common indication was fetal distress and the most common complication was fever. CONCLUSIONS The rate, indications, nature and frequency of complications of C/S performed at SQUH are similar to those at obstetric departments in academic hospitals in developed countries.