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Both, depending on the situation. If it is a medical emergency, then the patient doesn't have much choice. Now, if a woman had a Cesarean and wants to try natural the next time, she often can choose that depending on how the surgery was done and depending on the exact situation. In the past, doctors required repeat cesareans, but now, the surgery is done in such a way to where the patient doesn't always have to have it again. Or if a woman has a family history of needing a Cesarean or doesn't feel she is up to natural childbirth, then she might be able to choose that on an elective basis, depending on her doctor.

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