Introduction: Cesarean section is the most commonly performed operation in obstetric practice to circumvent maternal complications. Re-laparotomy after cesarean section (C/S) is considered a near-miss fatality situation. Emergency laparotomy has inherent complications culminating in significant morbidity and mortality. This study aimed to evaluate indications and outcomes of re-laparotomy after cesarean section. Methods: This longitudinal study was carried out at the Department of Obstetrics & Gynaecology, in Rangpur Medical College Hospital from July 2019 to June 2020. A total of 30 patients were selected as study subjects by purposive sampling method. All data were collected using a pre-formed questionnaire. The collected data were compiled and findings were presented in the form of tables and graphs. Appropriate statistical analysis of the data was done using a statistical package for social science (SPSS, version 23.0). Result: The most common indication of re-laparotomy in this study was primary postpartum hemorrhage 14 (46.7%) followed by secondary PPH 7 (23.3%), rectus sheath hematoma 6 (20.0%), and septicemia or pelvic abscess 3 (10.0%). Regarding procedures performed at re-laparotomy, a maximum of patients 23 (76.7%) had total abdominal hysterectomy followed by drainage of sub-rectal hematoma 6 (20.0%) and drainage of pus 1 (3.3%). Concerning outcome, there were 2 (6.7%) maternal deaths following re-laparotomy caused by shock following cardiac arrest, and PPH. Conclusion: The re-laparotomy rate following C/S was 0.96% due to uncontrolled primary PPH, rectus sheath hematoma, and secondary PPH. In this study, re-laparotomy after C/S was associated with a case fatality rate of 6.7%.