A horizontal incision is more often chosen for C-sections that are relatively aesthetically pleasing, while a vertical incision is suitable for those who have a combination of uterine fibroids, ovarian tumors, etc. that require a larger incision. Both horizontal and vertical incisions are the skin and subcutaneous tissue incisions that can be used for cesarean delivery, and the tissue incisions further down the line are the same. Transverse and vertical incisions are suitable for different groups of cesarean deliveries, with the transverse incision being the one mostly chosen nowadays due to its aesthetic appearance. Therefore, the main difference between horizontal and vertical incisions is that the horizontal incision is aesthetically pleasing but has a limited surgical field of view, and is suitable for a larger number of people, or for those with fat abdominal wall obesity. Vertical incision is relatively unattractive, vertical incision is convenient to extend the surgical incision, the surgical field is larger, suitable for combined uterine fibroids, ovarian cysts and other people who can be synchronized surgery. If you have any other questions, it is recommended to consult a professional doctor for guidance.