Due to the fact that I had a fairly large head as a baby, and my Mom told me how bad she tore, I asked when in labor with DD what they would do. They told me if I needed to have an episiotomy they would cut me, but that there is always a risk of tearing. I felt it was better to have a somewhat straight line to stitch rather then a jagged one, so I asked that they cut me, which they did and I may have tore a bit beyond that. DD had a good size head so I was not going to be able to deliver her without it.
DS was a pound and 4 oz larger then DD and was coming out face up, so they just cut me in the same place for his delivery. Recovery wise I actually had a harder time after DS, I got a pretty bad UTI not long after delivery and felt like I was peeing glass, but in a few extra days it healed up. Who knows what they will do with #3. If my history proves correct, #3 could be the largest out of all of them, and DS was just under 9lbs.