The incidence of second stage cesarean section is on the rise. Second stage cesarean section is associated more chances of maternal and fetal injury. Though various techniques are mentioned to deliver the fetal head in second stage cesarean section, the “pull” method is associated with lesser complications. It is important to train Obstetricians in second stage section as it needs extra skill to deliver a deeply engaged head. Judicious use of oxytocin and assisted vaginal deliveries may decrease the need for second stage cesarean section.