Introduction: Caesarean section is one of the most common surgical procedures performed in obstetrics practice. Recent studies have shown an increase in the caesarean delivery rate worldwide. Methodology: The present study was conducted in the Department of Obstetrics and Gynaecology of the Government Doon Medical College, Dehradun, Uttarakhand. It was a retrospective study from April 1, 2017 to March 2018. Secondary data was collected and analysed. Results: There were 9165 deliveries in the study period of one year, out of which 2444 had caesarean deliveries, giving a caesarean delivery rate (CDR) of 26.66%. Out of this 86% were emergency sections. Important indications were previous CS (36 %), foetal distress (19.2%). Other indications were breech presentation, severe oligohydromnios, placenta previa, non-progress of labour, failed induction, obstructed labour, malpresentation, cephalopelvic disproportion. Conclusion: All efforts should be made to reduce caesarean delivery rate and measures were advocated for proper labour management and reduction in unintended caesareans.