Bladder injury during cesarean section is associated with significant morbidity. It can lead to prolonged operative time, urinary tract infection and formation of vesico-uterine or vesico-vaginal fistula. Post cesarean pregnancy, presence of abdominal and or bladder adhesions, emergency cesarean section, placenta previa and/or accrete/ increta/percreta, all are significant risk factors for bladder injury during cesarean section. Immediate repair of the bladder injury always yield better result. But the availability of an urologist is not always certain. The obstetrician should better be well conversant with the bladder repair, which is relatively simple technique and can manage the situation effectively.