Pregnancy-related complications in Nigeria can be attributed to limited counselling and lack of patient informed consent as a prerequisite for caesarean section (CS). The sociocultural landscape of Nigeria has created a society where consent for CS is mostly dependent on a spouse’s or relative’s approval, irrespective of global initiatives like the Sustainable Development Goals and Nigeria’s commitment to international human rights laws that protect and promote the sexual and reproductive health and rights of women. In Nigeria, most women do not enjoy the full autonomy to explore their rights to either consent or reject CS during childbirth. When there is a need to provide emergency obstetric care (EmOC) like CS, some healthcare providers do not first seek and obtain the informed consent of the pregnant women, rather they resort to relatives for consent. Such sociocultural issues in most cases deter women from freely consenting to CS and this has contributed to the high rate of pregnancy-related deaths and complications in Nigeria. This chapter seeks to describe medical practices and experiences of women during childbirth, the influence of sociocultural norms on women’s decision-making for CS and suggestions for best practices in ensuring informed consent becomes an intentional part of medical practices in Nigeria. This chapter presents a holistic view of informed consent in Nigeria using desk-review. The chapter will call for the need for Nigerian medical schools to restructure their trainings on medical ethics and address the prevailing sociocultural norms and expectations that limit women decision-making power for CS during childbirth.