Background: Delivery mechanism is a spontaneous process and requires no intervention. Advance in medical technology in maternity care have drastically reduced maternal and infant mortality. Childbirth is not only of great importance to the mother and her partner, but also to the entire family. It is a profound event which is physiological, psychosocial and metaphysical. This is the whole family's joy and hope that pushes the mother to face all of the pain associated with this. Aims and objectives: To assess the knowledge and attitude regarding mode of childbirth among primigravid women. Materials and methods: Descriptive research approach and design was adopted for this study. Sixty primigravid women were selected by purposive sampling technique based on the inclusion and exclusion criteria. The demographic variables were collected using structured questionnaire, structured knowledge questionnaire used to assess the knowledge regarding mode of childbirth and five point rating scale was used to assess the attitude regarding mode of childbirth. The data were analyzed by means of descriptive and inferential statistics like frequency, percentage, mean, standard deviation, Spearman's Rank Correlation and Chi-square test. Results: Among 60 primigravid women 40 (66.7%) had moderately adequate knowledge and 20 (33.3%) had adequate knowledge regarding mode of childbirth. Regarding the attitude 53 (88.3%) had positive and 7 (11.7%) had neutral attitude towards normal vaginal delivery and 8 (13.3%) had positive and 52 (86.7%) had neutral attitude towards cesarean section. By using Spearman's Rank Correlation Coefficient there was no correlation between mode of childbirth (normal vaginal delivery vs cesarean section) among primigravid women. By using Chi-square, findings showed that there was no significant association between the level of knowledge and attitude regarding mode of childbirth among primigravid women at p < 0.05 level. Conclusion: This study concludes that the preference of mode of childbirth is very important among healthy primigravid women. Our research suggests that women are not responsible for the increase in cesarean section rates. Women have to accept the medically-indicated reasons for mode of delivery.