Yes, in Afghanistan it’s common for doctor or surgeon fees to be separate from the hospital’s basic charges, especially in private hospitals and clinics, which can make the total C-section cost higher than expected. In public hospitals, official fees may be lower, but families still sometimes pay extra for consultations, anesthesia, medicines, or supplies depending on availability. To avoid surprises, it’s best to ask in advance for the full breakdown—doctor fee, anesthesia fee, operating room charges, medicines, tests, and hospital stay—so you know the complete expected total.