Abortion is usually possible after a secondary cesarean section, but it must be performed by a medical professional. Induced abortion is a surgical procedure to terminate pregnancy. Abortion can be performed in the case of an unplanned pregnancy after a second cesarean section, but because of the increased risk of uterine perforation and hemorrhage, ultrasound is required to understand the location of the gestational sac and to clarify whether there is a keloidal pregnancy or not, etc. Abortion will be performed after adequate evaluation by a physician, and if necessary, it needs to be done under ultrasound guidance or hysteroscopic surgery. For those who have an unwanted pregnancy after a history of a second cesarean section, if there is no willingness to give birth, the abortion must be performed in a hospital with formal resuscitation conditions, and preparations such as opening an intravenous channel and blood preparation should be made, while the intraoperative bleeding should be closely monitored to ensure the safety of the pregnant woman’s life. In addition, for women who are not willing to give birth, must take safe and effective contraceptive measures to avoid the occurrence of unintended pregnancy, increasing the risk of abortion.