Objective: To make an inventory of anesthesia used during caesarean section in an urban medical center with surgical antenna in Bobo-Dioulasso. Patients and methods: This was a descriptive and retrospective study covering the year 2013. It concerned all women who delivered by caesarean section at Dafra, an urban district hospital. The caesarean indications were classified into extreme emergency, real/absolute emergency, delayed emergency and scheduled caesarean section. We reviewed medical records to extract data. Then analysis was performed with Excel 2000 Software. Results: A total of 291 operated women were collected, which represented 50% of the surgical activity of this hospital; 97.6% were performed in emergency. Half were extreme emergencies (50.2%) followed by real emergencies (34.7%) and delayed emergencies (12.7%), scheduled caesareans sections representing 2.4%. General anesthesia (69%) and spinal anesthesia (31%) were the two techniques practiced during cesareans sections in this center. According to nurses specialized in anesthesia, spinal anesthesia was less common because of the following reasons: surgeons put pressure on them, fear of hypotension during spinal anesthesia, absence of a physician anesthetist in the team, lack of training on spinal anesthesia. Conclusion: The regional anesthesia is the choice technique during all caesarean sections. It is advantageous for the mother and fetus and should be practiced even in district hospitals.