Abstract: Background: Ultrasound is used to evaluate the LUS, especially if there is a previous scar, and it is more beneficial to predict the possibility of the occurrence of any complications during labor either by repeated cesarean section or by vaginal delivery. Material and Methods: A total of 50 pregnant patients were included in this study. Transabdominal ultrasound was done for scarred uteri. Sonographic findings were co-related with introperative findings. All the given data were entered on SPSS version 23. Age was expressed as mean ± SD. Parity, gestational age, and interval between cesarean sections were expressed as frequencies with percentages. Statistical analysis was done by using Chi-square test for categorical data for association between sonographic scar thickness and intraoperative findings. The statistical significance was set at p-value e <0.05. Results: The mean age of study group was 28.27 ± 3.32 years. The minimum age was 18 years and maximum was 39 years. Maximum number of patients (65%) had 13-24 months interval between previous and current pregnancy. No patient had interval more than 48 months. The mean scar thickness in study group was 3.24 mm ± 1.3 mm. Minimum scar thickness on TVS was 1.2 mm and maximum was 6 mm. Among all, maximum (34.0%) number of patients had scar in range of 3.1-4.0 mm. Mean scar thickness on MRI was 3.6 mm± 1.23 mm. Minimum scar thickness measured on MRI seen was 1.7 mm maximum thickness measured was 5.6 mm. Similar to TVS findings maximum (32.0%) patients had scar thickness seen in range of 3.1-4.0 mm. In 82.0% cases scar was intact and scar thickness was measured using calliper while in 14% cases scar was dehiscent. Conclusion: MRI offers no advantage in diagnostic accuracy for the measurement of LSCS scar thickness during consideration of TOLAC.