Background  There are many modes of delivery for pregnant women; the commonest of these include vaginal delivery (VD) with or without episiotomy, forceps delivery, and cesarean section (CS). Whenever possible it is preferable to encourage vaginal delivery to minimize the morbidities and mortalities that are associated with cesarean section. On the other hand, when doctors estimate the risk of VD, which could be high in certain conditions for the baby and/or the mother, cesarean section will be performed. Objectives To determine the increasing rate of cesarean section in relation to vaginal delivery in Sulaimani Maternity Teaching Hospital from 2008 to 2018. Patients and Methods A retrospective study, data were collected from medical reports of pregnant ladies, delivered their babies either by vaginal delivery or cesarean section starting from January 2008 to December 2018. All data were retrieved from the department of statistics at the mentioned period of time were 180,625 cases, and numbers of each group of the patients were separately analyzed. As well as the primigravida and multigravida were sub grouped in each of these two major groups. Results From the total cases, 123,836 cases (68.6%) were vaginal delivery, and 56,789 cases (31.4%) were cesarean section. There is a notable annual increase in the percentage of CS. However, the percentage of primigravida CS is declining annually.  Conclusions The rate of cesarean section in Sulaimani Maternity Teaching Hospital from 2008-2018 was 31.4% in relation to the vaginal delivery, which is regarded as a higher than the universal standard that has been put by the world health organization, which is between 10%-15%. And this rate is increasing annually.