Introduction: Caesarean section (CS) is one of the most common obstetric procedures worldwide and an increased rate of caesarean section has been observed in recent studies. Maternal mortality and morbidities associated with repeat caesarean section is an important health problem worldwide.The present study aims at knowing the various intraoperative complications encountered during repeat caesarean sections with respect to those undergoing primary CS. Materials & Methods: A total of 200 patients who underwent delivery by CS at a tertiary care centre were included in the study. They was then divided into: Group A(100 women undergoing primary CS) and Group B (100 women undergoing repeat CS). Feto-maternal results and intra-op surgical complications were evaluated and compared between the groups. Results:The mean age of the study subjects was 26.94 years with subjects of repeat CS being significantly older (28.67 vs 25.21 years; p<0.05). Time taken for surgery was significantly long in repeat CS group (55.43 vs 46.89 mins; p<0.05). Complications like presence of Adhesions and thinning of scar was seen in 35% and 19% of the subjects with previous CS (p<0.05). Conclusion: An increasing number of CSs is accompanied by serious maternal complications. Decreasing the number of cesarean sections is required to decrease relevant complications. Vaginal birth after CS is an option that should be recommended to the patient.