Yang J, et al. - Researchers investigated obstetricians and midwives in China’s public hospitals to determine their knowledge, attitude and experience towards the practice of episiotomy. In addition, they considered strategies to reduce its practice. Using a self-administered questionnaire, a cross-sectional web survey was performed among obstetricians and midwives in 90 public hospitals in Henan Province, China. The questionnaire was completed by a total of 900 (82.21%) participants. Participants were identified to have average knowledge level (4.15, SD=1.10) on complications and overuse. Per analyses, previous training, practitioners’ experience and local norms are the driving factors for episiotomy rather than the latest medical evidence. Key training targets identified are clinicians in secondary hospitals and senior clinicians. The findings suggest the urgent necessity for improvement in current clinical policies and surgical procedure guidelines for obstetricians and midwives regarding episiotomy.