Aim: Studies conducted in large cities of Iran showed a tendency to prefer Cesarean section (CS) among women. On the other hand, there is a lack of studies investigating the thoughts of women about CS in small cities. The aim of this study was to investigate the knowledge and attitudes of women living in a small city in the Northwest of Iran regarding CS. Materials and Methods:This descriptive study was carried out in four health centers in Bonab, a city in the Northwest of Iran. There were 189 women participating in this study. A questionnaire on their background, knowledge, attitudes and the reason for the selection of CS was used for data collection. Data analysis was performed using SPSS version 17 software (version 17). Results:The results of this study showed that fear of pain, prevention of genital tears and fear of vaginal exams are the most important reasons for selecting CS. This study also showed that participants had a limited knowledge and positive attitude regarding CS. Conclusion:Positive attitude of women in combination with their limited knowledge about CS, show the need for educating women on the complications of CS. Keywords