Another way to say stab or get cut by a knife, broken bottle or a different sharp weapon in a fight. Generally said when someone gets stabbed in the stomach or gut, hence the reference to C-Section.
Tom and Brad got in a fight at the bar last night and brad gave tom a hillbilly c section with a nigga knife
after smashing his beer bottle against the bar counter
Watch out or else ill give you a hillbilly c section with this bottle nigga