1. Preparation: The mother is given anesthesia, usually a spinal block or epidural, so she remains awake but numb from the waist down. 2. Incision: A horizontal incision (often called a “bikini cut”) is made in the lower abdomen. 3. Delivery: The baby is carefully pulled out through the incision, followed by the placenta. 4. Closure: The uterus and abdominal incisions are then stitched up.