When I gave birth in 1999, I didn't have a birthplan. I never said I didn't want an episiotomy that I can remember, even though I really did not want one and that was a big issue for me. I must have forgotten by the time I was pushing though. The doctor didn't do one, and I did tear a little up in my vaginal area, but not in my perineum. My sister had routine episiotomies in the 80s with her one OB, but by the time she was giving birth in the early 90s, no more episiotomies. I've just been kind of assuming, I guess, that they aren't routine anymore, but it occurred to me that that is a bad assumption to make. I plan to make sure of this with my doctor, but I was curious what others thought.