This study aimed to assess maternal anxiety and in women undergoing elective caesarean delivery using the State-Trait Anxiety Inventory (STAI-S) score. A total of 400 pregnant women scheduled for elective caesarean section at SMS Medical College, Jaipur, were included in this descriptive observational study. The STAI-S questionnaire was administered two hours before the procedure to assess anxiety levels. Women with severe comorbidities, psychiatric or psychological problems, those on psychotropic drugs, and those carrying a fetus with congenital anomalies were excluded. The results indicated that 74.25% of women experienced significant anxiety (STAI-S score > 40). This study highlights the importance of preoperative counselling and targeted interventions to reduce maternal anxiety and improve psychological well-being in women undergoing elective caesarean sections.