Introduction: Caesarean section is an operative procedure whereby the foetuses after the end of 28th weeks are delivered through an incision on the abdominal and uterine walls. This excluded an abdominal incision delivery where the foetus lying free in the abdominal cavity following uterine rupture or in secondary abdominal pregnancy. Aim of study: To know perception and attitudes of pregnant women towards caesarean section. The objectives of the study were: To find out the perception of pregnant women towards caesarean section. To assess the attitude of pregnant women towards caesarean section. To determine the correlation between perception and attitudes of pregnant women towards caesarean section. To determine the association between the perception with selected demographic variables of pregnant women. To find out the association between the attitudes with selected demographic variables of pregnant women. Material and Methods: A descriptive cross -sectional study was conducted at Rohilkhand Medical College and Hospital, Bareilly. A sample of 270 pregnant was selected through convenient sampling technique. The data were collected by using five-point Likert scale for attitude assessment and perception checklist regarding cesarean section. Descriptive statistics i.e., frequency, percentage mean, Standard Deviation was used to described. Inferential statistics Chi square test was used to find the association. Karl Pearson Coefficient (r) was used to find out the correlation of attitude and perception of pregnant women towards caesarean section. Results: The study interpreted that the mean and standard deviation of perception of pregnant women towards caesarean section was (9.04 ± 1.30). And 83 % of the pregnant women have Average perception of caesarean section and 17% of the women have good perception towards caesarean section. In this study the mean and standard deviation of level of attitude of pregnant women towards caesarean section was (68.46 ± 7.01). And 8% pregnant women have neutral attitude and 92% of pregnant women have positive attitude towards caesarean section. And also, the study reveals that the correlation between level of perception and attitude of pregnant women toward caesarean section was 0.143 and p value was 0.01. It shows that there was positive correlation between level of perception and attitude of pregnant women. In the present study shows that there is significant association of perception levels established with the selected socio- demographic variables except occupation, religion, educational qualification, history of any chronic disease, number of children’s, previous history of caesarean section and sources of information about the birth delivery mode. In another analysis the study reveals that there is no significant association established with the selected socio-demographic variables except first degree relative (parents + siblings) experience of caesarean section. Conclusion: The present study is concluded that the assessment of perception and attitude of pregnant women towards caesarean section was found good perception and positive attitude towards caesarean section. The nursing educators can use the results of the study and can enhances the knowledge, perception and attitude of the pregnant women towards caesarean section and pregnant women.