Summary:The 161 repeat elective Caesarean sections performed on booked public patients at the Royal Women's Hospital Melbourne, in 1962 and 1963 are reviewed.There were no maternal deaths.The weights of babies, their resuscitation times and the perinatal mortality (37 per 1000) are described.Obstetrical abnormalities of patients having repeat elective Caesarean section, the indication for the operation and when it was performed, as well as difficulties encountered at operation, are discussed.The abnormal Caesarean scars, the indications for tubal ligation, and the postoperative complications are reviewed.Comments are made on attendance at the postnatal clinic, on fertility after Caesarean section, and on the influence of racial origin.