A 50-year-old male presents to his primary care physician with complaints of lower back pain for an extended time and was subsequently referred to an orthopedic for consultation at which time surgery was recommended. The surgical report states patient had a decompression and hemilaminotomy at L3-L4 and a discectomy at L4-L5. There’s a question in the surgical technique because the surgical report mentioned difficulty with a pituitary rongeur as it may have malfunctioned during the procedure. In any event, the post operative period was met with poor results as the patient now experiences bowel and bladder incontinence, sensory and motor deficits in both lower extremities, as well as foot drop. The working diagnosis by physicians was suspected cauda equina syndrome. The patient has a major loss in motor functional status after undergoing this procedure.