Caesarean Section (CS) is a life-saving obstetric surgery, which may be necessitated (sometimes the only feasible option) in high risk pregnancies such as those with multiple/ large foetus, breech presentations, obstructed labour, as well as in women with transmissible infections such as HIV/AIDS. Women in low-income countries have continue to show strong aversions to caesarean section despite the improvement in the safety of caesarean delivery associated with advances in anaesthesia, antibiotics, surgical techniques and blood transfusion. Thus, the aim of this review is to discuss the challenges involved in myths and misconception of caesarean and the factors associated with CS delivery in Nigeria and recommend the way forward. For CS to become more widely accepted in Nigeria, all relevant stakeholders must work collectively to support women undergoing this procedure