This case involves a 60-year-old male patient who underwent an exploratory laparotomy, partial colectomy with end colostomy and take down of splenic flexure. He was taken in for a followup surgery to reverse the colostomy and experienced several complications as a result of the reversal procedure. The following morning the patient complained of severe lower limb pain associated with numbness and tingling. After a neurology consultation, the impression was that the patient developed left femoral motor neuropathy due to the 4-hour surgery in the lithotomy position. Further followup with neurology and electromyography (EMG) testing showed evidence of left upper lumbar radiculopathy with axonal degeneration involving the iliacus and quadriceps nerve branch distributions.