I actually do have this choice and am struggling to decide at the moment.
I had a third degree tear with my first birth so its maternal choice whether I want to have an elective section on my second. To be honest, my first birth wasn't that bad in the end: I had an epidural, was induced, they needed to get baby out quickly and so used ventuose and I tore through the episiotomy. On paper, literally my worst nightmare. But I had a great team do my stitches, the epidural meant no pain at the time, I had literally no pain afterwards (I realise I was unusual in this) and most importantly I was up and about almost instantly once the epidural wore off, all the niggly hip pain through pregnancy gone, entirely myself.
Unfortunately there has been some pelvic floor damage, they won't want to induce me next time due to the tear, and I have realised how unusual I was in not having pain after the tear so while my increased risk actually isn't huge I am in two minds about the way forward. My biggest fear is ending up with an emergency section, when I could have chosen a planned one - I was very overdue with my first and my body just didn't go into labour naturally at all.
The c section recovery seems to vary a lot from person to person. I would rather, especially with a second child, be up and about sooner and recover quicker. But if I am unlucky enough to have another bad tear there are potential ongoing incontinence issues which would be debilitating....
For a first birth, or with an uncomplicated history, no question I'd choose vaginal. (And as an aside I actually hate the use of 'natural' birth - a certain proportion of 'natural' births used to end in the death of the mother and baby. I prefer vaginal vs c section, and I often wonder how much inferred judgment people feel about not having 'natural' births just because most people just don't like saying the word vagina!)