From my very first midwife appointment, I was adamant that I wanted an elective c-section because of my tokophobia. I had several appointments with the consultant and he said that he didn't advise a c-section, but would let me have me one if I really wanted. I actually decided in the end that I would give vaginal birth a go - I was still far more comfortable with the idea of a c-section, but the consultant pointed out that if I wanted a large family, the more c-sections I had, the riskier it would be, and that was the main thing that changed my mind.
Anyone who's been to an ante-natal class will know that even when contractions start, you're told to stay at home until they're frequent and regular because that's the best way to "relax" and help labour progress. With my tokophobia, that was absolutely not the case for me. Contractions started at 6 minutes apart - and 48 hours later, they were still 6 minutes apart. I only relaxed enough for labour to progress when they agreed to admit me to the ante-natal ward (still wouldn't take me on to the delivery suite at that point). As soon as I was 3cm dialated, I got an epidural, which was brilliant - I was very comfortable, couldn't feel a thing, and felt ok about the prospect of pushing a baby out. But 12 hours later, I was still only 4 cm dialated, despite pumping me full of induction drugs to move things along, and so I ended up having a category 3 emergency section (the least urgent EMCS).
I'd had several operations previously, so was prepared for what to expect from a c-section. In actual fact, I found it a total breeze! I was in hardly any pain during my recovery, home within 48 hours and fully mobile within 72 hours (though still took it easy, just in case!). For my next child, I will be having an elective section - no question.
So in summary - if I had gone with a vaginal birth, I think I would have coped with it. But Reastie makes an interesting point about our body's being reluctant - maybe that's why my labour didn't progress. And from my c-section experience, I know I wouldn't have regretted having an elective either. The risk of multiple c-sections is still in my head, though - I'm paying close attention to Mumsnet threads about 3+ sections and have accepted that if my second goes badly, it might be best to stop at two children.