cosmetic? ending up with a scar is cool?
That all heals with no real differences, but some women have issues with their pelvic floor and postpartum bleeding. I think some of that is mitigated by a c-section.
I wouldn't advocate for routine c-sections and it is still surgery with all the risk that entails, but if you're not generally prone to scarring, the optimal outcome for a c-section can be far more predictable and doesn't have to involve a "huge scar over [your] guts".