Abstract: Objective：To analyze gynecologic problems after cesarean section. Methods：The gynecologic problems of women after cesarean section, who worked in the same workplace, were investigated retrospectively in 20 years. Results：In 176 cases after cesarean section, 7 cases（3.98%） showed obstetric problems in short-term and 142 cases（80.68%） showed gynecologic problems. The key problems were menstrual change, abdominal pain and lumbago, urologic symptoms, the adhesion between uterus and abdominal wall, infection and ulceration of the uterus incision, endometriosis in abdominal wall, intestinal adhesion, ectopic pregnancy and pelvic congestion syndrome. Conclusion：The indication of cesarean section should be strictly monitored to avoid the gynecologic complications after cesarean section.

Key words: Cesarean section, Genital diseases, female, Menstruation disturbances, Urological manifestations, Endometriosis, ectopic