A significant number of women deliver their infants by cesarean in the operating room (OR). In most hospitals, this number is more than one of every four deliveries. The primary emphasis in cesarean delivery is safety for mother and infant during the surgical procedure. To adhere to the traditional standards of the OR, we have had to limit the number of people in attendance and limit the time mothers spend with their newborns. Our current challenge is to identify ways to adhere to OR standards, keep our patients safe, and still promote bonding, family-centered care, and successful breastfeeding.