In the UK, debate about fathers' presence during the birth of their baby by normal birth is largely resolved. Fathers' attendance during caesarean section, both routine and emergency, remains controversial. This article draws upon research evidence professional insights and the authors' personal life experiences to contribute to the debate about the presence of fathers during caesarean births with general anaesthetic. We argue that the widespread exclusion of fathers in these circumstances may be contrary to both parents' wishes, and clinicians should consider offering women the choice of a nominated support person. Such a person can help the mother to fill in the missing pieces of the birth experience. Moreover, where this person is the baby's father, there may be additional familial benefits for his transition to parenthood. Further research is warranted into the presence of fathers during births that are clinically problematic.