Caesar after 3rd degree tear??

[Midwife Melissa]

I'd be getting a second opinion from a midwife. Most women who have had a third degree tear do not tear again, third degree. I do not agree with the advice of your physio, nor do I believe a physio is qualified to give such advice.

An OB will generally recommend surgery when there's the slightest indication for surgery as this is their specialty. So I'd recommend consulting with a midwife for a second opinion, to get some balance to the info that you're getting.