Having really read the entire thread as I'm getting bored of the pain competition, urging every woman in the world to press a baby through her vagina because it's what nature intended and so forth...
I'm having an EL CS, I spoke to my surgeon in depth about the operation and would definitely class it as major surgery. BGS, your doc needs to cut through several layers of tissue which all need to be stitched up individually (yes, some docs clip them together and sow it all up at once but that's not ideal).
The muscles on your tummy are vertical musces (top to bottom), the muscles close to your pubic mound are lateral muscles (go across). First he has to make a lateral cut, then a vertical, or a few vertical ones, better said. He cannot just tweak your higher tummy muscles out of the way to reach baby, this is tissue.
"Setzen, 6" comes to mind... (German imperative + worst marks = You failed basic biology and should repeat the course.)
In the process of that operation your bladder could be nicked, etc.
In the eyes of the white-clad medical world the hierarchy of safest delivery goes:
- vaginal
- EL CS
- forceps & ventouse
- EM CS
However, should anything go badly wrong with the vag del, then you end up with the 2 riskiest ways of delivery. EL CS is the best for baby as it is the safest if not taken out too early. Vag del. can cause lack of oxygen, nerve damage, etc. Don't even want to talk about ventouse & forceps TBH.
However you shouldn't understestimate the risks of an EL CS and if I were you I'd go back to your doctor to discuss this one more time.