OBJECTIVES: The current study was done to evaluate the risk factors and the perception of pregnant females regarding factors associated with Caesarean in different hospitals of Quetta, Pakistan. METHODS:  A cross sectional study was conducted from March to September 2016 in the public and private hospitals of Quetta by using a pre-validated questionnaire. Five hundred and ten (510) women were registered in the different hospitals at the time of the study out of 310 were agreed to participate. The primary source of data was revalidated self-administrative questionnaire. Inferential statistics (p < 0.05) were used to assess the significance among study variables by using SPSS vs 20. RESULTS: A total of 310 pregnant women who were in their third trimester and expect to deliver soon were enrolled in the study. The results show that increase number of pregnancies was associated with caesarean (67.1%). Majority of the females (n=229, 73.1%) preferred to caesarean as their current type of birth. Most of the females (n=107, 34.5%) had their one previous Caesar. Overall the only 58.1% (n=180) had adequate knowledge regarding the risk factors associated with cesarean. But the small number of respondents (n=89, 28.7%) were not familiar with the factor that the age of the mother can affect the complications which leads to caesarean birth. CONCLUSIONS: The study concludes that females preferred caesarean rather than a vaginal delivery. And large number of females had poor knowledge regarding risk factors associated with cesarean. The factors associated with high Caesarean rates may be reduced if females were provided with better education, facilities, & ante natal care that care which provided throughout the pregnancy. It is also important to educate woman that childbirth is a normal process and vaginal birth can be achieved in women safely.