NFHS-6 data puts the rate of Caesarean sections in West Bengal at 44.5%, nearly double the 2015-16 level and significantly higher than the national average of 27.2%. Private facilities handle about 3 in 10 births but perform almost 6 in 10 of the operations. West Bengal’s C-section rate soars to 44.5%, driven by private care, demanding audits and policy scrutiny to curb unnecessary surgeries.