This case takes place in Maryland and involves a male patient who underwent a laparoscopic gastric bypass performed by the defendant. The operative note appears to be without incident and no complications were noted. Post-operatively, the patient complained of severe abdominal pain after taking pain medications. The surgeon on call was notified and she was given additional pain medications, but the patient continued to complain of elevated pain throughout the night. The surgeon on call was again notified and additional pain medications were ordered. The next morning, the defendant requested imaging of the patient’s abdomen be performed, at which point a bowel obstruction was identified. The Defendant returned the patient to the operating room, where he was diagnosed with an ischemic bowel. The surgeon documented that patient had an extremely short small intestine. The patient continues to suffer from intra-abdominal infections and has experienced a severely diminished quality of life.