Caesarean Section is a surgical procedure in which an incision is given through the abdominal wall and uterus in order to deliver fetus. It is also known as C-section is one of the most challenging surgical procedures in case of dystocia to save fetus live. A 6 years old HF cross breed cow, weighing 300 kg was admitted to the Teaching Veterinary Hospital (TVH), Chittagong Veterinary and Animal Sciences University (CVASU) with a history of prolonged labour pain. At first all the physical examination was done. Blood sample was collected to know different parameters of serum and blood. As Per vaginal examination revealed incomplete dilation of cervix. Then, it was decided and performed caesarean section using left oblique laparotomy and a live female fetus was delivered. Post operative care was taken for 10 days. The cow recovered successfully without any complications. The cow was followed for next one year. 70 days after surgery, she came to heat and after insemination pregnancy was confirmed at 35 days post AI. The cow had successful pregnancy which was confirmed by rectal palpation at 35 days. Caesarean section through left flank oblique laparotomy is an effective method of resolving dystocia to save cow with fetus.