Background <p>According to the World Health Organization, cesarean section rates are rising globally, with 21% of deliveries and an expected increase to 29% by 2030. While lifesaving, CS often brings physical, psychological, and financial challenges, especially in rural and tribal areas with limited healthcare access. This study examines these impacts in Keonjhar, Odisha, focusing on recovery, psychosocial well-being, and economic burden.</p> Methods <p>This qualitative study explored women’s experiences after cesarean delivery in Keonjhar, Odisha. Thirty-five women, within two weeks post-CS, were purposively selected. Data were collected through face-to-face semi-structured interviews conducted at their homes during November to December 2024. Interviews covered physical, psychosocial, and economic aspects. Data were audio-recorded, transcribed, and analyzed using thematic content analysis with MaxQDA. Ethical approval and informed consent were obtained.</p> Results <p>The findings identified three key dimensions of post-CS experiences: physical, psychosocial, and economic. Women reported prolonged recovery, pain, limited mobility, and inadequate care. Many experienced emotional distress, stigma, bonding difficulties, and signs of postpartum depression. Financially, CS led to high out-of-pocket expenses and debt, especially in private care. These challenges were further shaped by rural conditions, limited access to services, and socio-cultural factors.</p> Conclusions <p>Cesarean deliveries in Keonjhar pose significant physical, emotional, and economic challenges for women. The findings stress the need to strengthen postpartum care, include mental health support, and improve financial protection. Context-specific efforts such as community awareness, better follow-up care, and culturally sensitive services are important to improve maternal outcomes after CS.</p>