This article explores the pervasive issue of surrogate decision-making in a deeply patriarchal society where women, despite being competent to make their own choices, often have decisions made for them by others. Through interviews with women from impoverished backgrounds in Bihar, the research reveals that healthcare providers and family members frequently override women’s autonomy during childbirth, reflecting broader societal norms that devalue women’s agency. The study highlights the resistance and non-resistance of women to this form of obstetric violence, drawing parallels to their responses to everyday violence. The authors argue for the necessity of recognizing women as key stakeholders in decisions about their own bodies, advocating for systemic changes to empower women and ensure their rights are respected during childbirth.