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Background & Objective: The prevalence of cesarean section (C/S) has increased worldwide, as in Iran, in current years. This issue is more important for our country due to the change in the policy of family planning to increase population. Therefore, the objective of the present study is to determine the prevalence of C/S and its causes in Fasa in the year 2011. Materials & Methods: In this cross-sectional descriptive study, the data were collected from profiles of women who underwent C/S in Vali Asr hospital in Fasa University of Medical Sciences; Fars, Iran in the year 2011 by using a standard questionnaire containing socio-demographic data and its causes of C/S. The rates of Normal Vaginal Delivery (NVD) and C/S were obtained from vice-chancellor for health of Fasa University of Medical Sciences. The data were described by SPSS software version 16, prevalence and percentage indices. Results: There were 4376 deliveries in Fasa in the year 2011 that 2741 (62%) of them were cesarean section that 1540(56/7%) of them were rural and the rest of them (43.3%) were urban. The average age of them was 27.5 years. The most cause for C/S was previous section. Conclusion: The rate for cesarean section was four times more than the suggested rate by World Health Organization (WHO) (15%). This is also higher than the average rate of Iran that has increased during recent decades. [ABSTRACT FROM AUTHOR]