We had a C-section. That's when the baby comes out like toast.

Goldthwait’s line uses absurd simile to puncture the solemnity that often surrounds childbirth narratives. By describing a Caesarean delivery as a baby coming out “like toast,” he compresses a complex medical procedure into a mundane, mechanical image—something that pops out of a slot—creating shock-comedy through incongruity. The joke also reflects a stand-up persona that leans on dark, awkward humor and deflation of sentimentality: it acknowledges the strangeness and bodily reality of birth while keeping emotional distance through a deliberately silly comparison. The humor depends on the listener recognizing both the clinical term (“C-section”) and the jarring triviality of the metaphor.