This case involves a 27-year-old female patient with a past medical history of hypertension. The patient presented to a chiropractor for adjustment and neck manipulation. The patient had seen this particular chiropractor in the past and the chiropractor had successfully performed 2 previous manipulations on the patient. Several hours after the manipulation, the patient’s husband found her collapsed in the bathroom with an altered mental state. She was admitted to the hospital and diagnosed with an acute stroke secondary to carotid artery dissection. It was alleged that the chiropractor was negligent in performing the neck manipulation. An expert chiropractor was sought to review the medical records and opine on the standard of care.