 This scoping review examined the behavioral drivers of fear of litigation among healthcare providers and its impact on caesarean section, CS, rates. The authors identified several factors that contribute to fear of litigation, including cognitive biases such as availability bias, ambiguity aversion, relative risk bias, commission bias, and loss aversion bias. Additionally, they noted the importance of social and cultural drivers such as patient pressure, social norms, and blame culture, as well as environmental drivers such as legal, insurance, medical, and media environments. The authors concluded that behavioral interventions that take into account these drivers are necessary to reduce CS rates. This article was authored by Sir Down, Anna Pillar-Bekran, be a shamana, and others.