Cesarean section is probably one of the oldest and certainly one of the most commonly performed surgical procedures in obstetrics and gynecology. There is always a risk in attempting to elaborate excessively on such a common operation. Each of us will develop our own personal biases based on individual experience and expertise. These differences are superficially distinct but usually have underlying similarities that allow us to achieve similar outcomes and expectations. At the same time, however, it is important to recognize that there is a difference between repetition and habit as opposed to altering a technique in order to meet a specific end. Obviously, with cesarean section, there can be several ways to accomplish the same result, and certain situations will dictate the individualization (patient, not physician) of technique. Certainly, one has to be aware of his or her own expertise and at the same time know his or her options. It seems best not to limit oneself to the same technique under all circumstances but to be able to anticipate problems and know how to rectify them in a manner that will avoid undue injury or compromise to the infant and mother.