This paper attempts to explore the levels and trends of delivery by caesarean section (CS) among various groups of women in Bangladesh. Using data from BDHS and BMMS, it is observed that rates of use of CS delivery rose steadily overtime, increased gradually from 2.4% in 2000 to 17.1% percent in 2011. While analyzing the data considering the use of CS delivery, a decade of inequality is observed. The CS delivery rate for women from richest quintile increased from 14.4% in 2004 to 41.1% in 2011, whereas CS delivery rate for women from poorest quintile increased from 0.1% in 2004 to 2.7% in 2011. The CS delivery rate in urban areas increased from 8% in 2000 to 28.9% in 2011 compare to the increase in rural areas from 1.3% in 2000 to 13.6% in 2011. The findings of this study suggest the importance of educating the woman and the families about the need of CS delivery. Policy makers also need to set up regularity measure for CS procedure which may have adverse effect on health.