Depends. If the patient requests, then post-spinal. Otherwise, before they hit the OR. I had one, it's not that bad. The trade-off, as I often explained to the patient, was privacy. If done in her room, it was me, her, and whoever of her family she wanted in the room with a door that stayed firmly closed. If done in the OR, it was her, me, anesthesiologist (usually male), CRNA (often male), sometimes the NICU team (with occassional males) and no way to screen her from view. Also, I'd usually have a doctor there tapping their foot while I tried to do it as quickly as possible. I didn't care either way, I'm happy to do it in the OR.