An episiotomy is a surgically planned incision made in the perineum and posterior vaginal wall during the second stage of labor. It is done to enlarge the vaginal opening, minimize overstretching of perineal tissues, and reduce stress on the fetal head. Indications for an episiotomy include a first-time mother, assisted delivery, or a large baby. The incision involves cutting the vaginal wall, perineal muscles, and skin. Potential complications are extension of the incision, hematoma, infection, or pain during sex. Post-operative care focuses on cleaning, dressing, and removing stitches to aid healing.