I had an epi with my 1st one and swore never again. Not only was I disfigured they didn't even sew my pelvic floor muscles back together. I ended up having repair surgery in 2005 to bring the muscles together again. Sex was horrible as I had no control over the muscles and I thought I had been doing my PF exercises wrong. I have also had a c/s and it was so much easier. Yes initially it was harder but I had no infection and it healed really well. I have the faintest scar there now. I would do another c/s over an epi any time.