Background: Increasing the cesarean section rate with its complications is a global concern now. High economical background, education, limited family size, comfort of both; the patient and the care provider as well as the availability of facility and advanced technology are the responsible factors for the high rate of the surgery. In an attempt to reduce the rate, World Health Organization (WHO) has introduced Robson's Ten-group Classification System (RTGCS) for auditing, analyzing, and finding the largest contributor to the surgery so that steps can be taken to limit it. Aims: (i) Finding out the group contributing more to the total cesarean section. (ii) Discussing the possible remedial measures to reduce the rate of the surgery. Materials and methods: This retrospective study was conducted in the Obstetrics and Gynaecology Department of Mamata Medical College, Khammam, Telangana State, India, over 5 years period, which included all the cesarean deliveries at and beyond 28 completed weeks of gestation. Results: Total cesarean deliveries were 778 and the rate of cesarean section was 31.39% of total deliveries. Group X of RTGCS had a maximum contribution (31.10%) followed by group V (29.43%), group II (20.95%), and group I (06.68%) to the total cesarean deliveries. Conclusion: Robson's ten-group classification system, as the preliminary step in reducing the rate of cesarean delivery, is good to find the maximum contributors to the surgery. Detailed auditing and analysis will help to limit the rate of surgery by taking necessary steps, without affecting the mother and the baby. The role of the institution and care provider is important in the success of the mission. Clinical significance: Attempt to reduce the rate of the cesarean section without compromising pregnancy outcome.