How many c sections are safe, many women ask. The answer to this question is quite dependent on the individual's particular needs. In some women, the amount of scar tissue that develops after each c section can cause limitations on further cesarean deliveries. This decision can be made by a doctor. It is possible, and is becoming more common, that vaginal deliveries after c sections are possible. This is often referred to as a V Back. The biggest concern surrounding c section numbers is the amount of scar tissue that is produced. Therefore, a combination of your body and the doctor's skill determines who many c sections are acceptable and possible to have.