On May 3, 2024, on Good Friday, an unusual caesarean section was performed at the Kyiv Regional Perinatal Center (hereinafter referred to as the Center) with an upper-middle laparotomy (above the navel), which was associated with obesity in the pregnant woman, severe subcutaneous edema fatty tissue of the lower abdomen, which made it impossible to perform a cesarean section in the lower uterine segment.