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When it comes to abdominal delivery, there is opinion and there is fact. This particular effort is made to eliminate the former, and to extend the latter. A 200-page textbook, it contains 56 illustrations of surgical scenes, nuances and principles, and based on 306 references it presents the up-to-date knowledge about the art and optimization of cesarean section, covering indications, contraindications, surgical alternatives, global expenditures on elective cesarean sections, complications, rare cases (management of the abdominal pregnancy), anesthesiological strategies and complications, the trial of labor (TOL), tips for presurgical orders, postsurgical maternal neural circuits,blues and depression, neonatal adaptation, perimortem c-section, cesarean myomectomy and total hysterectomy, legal issues and litigations, as well as review questions and scenarios. In memory of my mother, a divine individual with a 50-year career in obstetrics & gynecology.