Objectives Tamworth Rural Referral Hospital saw a dramatic reduction in caesarean site infections (5.1% to 1.6%) after the introduction of "Caesarean Infection Prevention" bundle in 2017(1,2). This 5-element bundle of pre-determined steps namely ante-natal risk assessment, pre-operative hygiene, skin preparation, timely antibiotic prophylaxis and appropriate postoperative dressings was performed conscientiously for all patients over 1 year. This motivated us to explore the experiences of health care professionals (HCPs) involved in the execution of the bundle. We targeted the perceived barriers and facilitators in clinical implementation of this bundle. Methods Using qualitative techniques, we conducted 19 semi-structured interviews with HCPs involved with the application of this bundle. Interviews were audiorecorded and transcribed. Research team members reached consensus on coding, content analysis and key results (theme saturation achieved). Results Facilitators and barriers were grouped into three overarching themes: (a) personnel related (2) task-related (3) organisation related. All participants emphasized that "leaders" championing the bundle inspired all employees, dealt with resistant staff and were the prime facilitators in implementation. Conversely, lack of awareness of the protocol steps such as correct application of negative pressure dressings was the most frequently reported barrier and regular education was cited as the solution to overcome it. Conclusions The implementation of "Caesarean Infection Prevention" bundle substantially influenced professional practice and accomplished unique, departmentspecific behavioural changes. Additionally, the study provides a framework for implementation, suggestions for transitioning, and improvements to avoid barriers in the setting of a rural hospital that choose to achieve similar results.