Background and Objectives: The incidence of Cesarean section in India is on rising trends with 21.5% in NFHS-5 from 17.2% in NFHS-4 (1). With increasing incidence of primary Cesarean section and it being a most common obstetric procedure worldwide, it gives women frequently an obstetric status of ‘Previous Cesarean Section’. Hence, this study aims to study clinical profile, indications and challenges encountered in women undergoing Repeat Cesarean section. Materials and Methodology: An observational study was conducted collecting data from medical records of around 300 consenting subjects undergoing repeat Cesarean section in a tertiary care centre over a period of May 2019 to November 2020 after ethics approval. Results: Mean age of subjects who underwent repeat Cesarean section in our study was 26 years. 60% of the subjects underwent Repeat Cesarean section for Negative consent for VBAC. 50% of subjects who underwent Repeat Cesarean section belonged to Robson’s class 1 and 2 in their previous Cesarean section. Conclusion: Cesarean audit should be conducted on regular basis. Patients fufilling criteria for TOLAC should be encouraged and counseled in antenatal period.