External cephalic version is a procedure in which fetus is manually turned into a cephalic presentation. Its importance lies in the fact that there is a high rate of caesareans section in breech presentation and this technique is used to achieve a cephalic position in which chances for a vaginal birth increase and the risk of caesarean section can be reduced. It is useful in breech and other non-cephalic presentations. It can be done at term or before term. Although recommended, its use it still not implemented widely, as some women are not offered a try and some refuse it. The success rate of external version varies greatly between different studies, it is estimated to be 58% and it depends on many factors such as parity and position of placenta and many others. The use of tocolysis and neuraxial anesthesia also increases the success rates, especially when used in conjunction. Successful external version does decrease the rate of caesarean births, but women presenting with non-cephalic presentations still have higher risk of caesarean section even after a successful external version then women presenting with spontaneous cephalic presentations. At the Department for Obstetrics and Gynecology at University Hospital Center Zagreb, in the period between 2016 and 2018, external version was successful in 56.6 percent of trials and 90 percent of women with successful version gave birth vaginally, which illustrated that with implementation of external cephalic version the rate of caesarean sections could be decreased. Contraindications of external version are arguable, with different sources stating varying states and diagnoses as contraindications. Some examples are fetal distress and uterine bleeding. External cephalic version is a safe procedure with low complication rates, but it does have some risks and rare serious complications. Studies showed that external version is cost-effective.