BACKGROUND: Currently, there is no ideal suture technique but the newer suture techniques offer some promise. Due to physiologic changes in pregnancy including immune modulations, it may be incorrect to extrapolate findings on these newer techniques from comparative study in general surgery to obstetric surgery. Yet, information is limited on the skin closure material that is best for caesarean section, especially the value of tissue adhesives. OBJECTIVE: To compare wound outcomes following caesarean section in participants who had tissue adhesive skin closure and participants who had subcuticular skin closure. METHODS: This is a two-centre randomised controlled trial of two different methods of skin closure at caesarean delivery. The primary outcomes were the Patients and Observers Scar Assessment Scale score (POSAS) 6 weeks after the caesarean delivery. Secondary outcomes were surgeons’ satisfaction survey score and the incidence of surgical site infection (SSI). A total of 140 participants were randomised into the two groups and this study aimed at 80% power.