Background: With the turn of the century and increase in the litigations, increase in the number of complicated deliveries as a result of late pregnancies, and an undue increase in the precious pregnancy rate the incidence of cesarean sections ion rise globally. With the recommendations laid down by the World Health Organization stating that the Cesarean Section rates at maximum may be upto 15%, as evidence based medicine suggests that even though the rates exceed the norms there is no added advantage in terms of in maternal and neonatal mortality and/or morbidity. The Robson Ten-Group Classification System is considered as a standard to critically analyze the characteristics of pregnancy with respect to the need for caesarean section. Objectives: To investigate CS rates at a tertiary care medical college setting centre which has a high referral rate of complicated pregnancies and make analysis based on the 10-group classification. Materials & Methods: The study was a retrospective observational study conducted for a period of 30 months from October 2014–April 2017 at the department obstetrics and gynecology of a tertiary care center in Mangalore. All the women who were delivered during this period were included. Results: The total number of women delivered for the period of months was 4486, out of which CS deliveries were 1429. Overall, CS rate calculated for our hospital in this specified period was 31.85%. Conclusion: The contribution of repeat CS is 81.80 % of the overall CS rate hence studies should focus on reducing the primary CS rate.