The only other thing to consider is your future birthing options. After a csec it can be hard to go for vbac...I also urge you to consider the risks to your own health csecs cause, such as an increase in hysterectomy.

Vaginas are made to stretch, tear and heal. An episiotomy should be a last resort and asalready mentioned, by that point, a csec might take too long or be too difficult (since bub is in birth canal).