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
Getting drunk, loud, and obnoxious during the afternoon daylight hours and talking lots of trash with violence usually happening as well, often domestic. Common in urban white environments like east Dayton, Ohio where ethnic Appalachianwhite trash abound.