Many women do not realise that a Caesarian section is a major abdominal surgical procedure with all the risks of any similar planned procedure. The extra money this would cost should be used to train more midwives and do further research into child and maternal health. How many PCT/commisioners will be willing to fund unnecessary procedures? Will it be those who can pay who get the so called choice AND is this an opportunity for some health insurance companies to offer this as an option for those who can afford it? Leave midwifery to well trained midwives and staff maternity units with sufficient numbers of trained staff.