The case involves a fifty-two-year-old female patient who underwent a laparoscopic left radical nephrectomy. According to the operative note, the surgeon removed much of the tissue near the wall of the aorta on the left side, along with the renal mass. Immediately after surgery, the patient complained of significant weakness and pain in her legs before her release from the hospital. One year later, and after multiple complaints of lower limb weakness, her primary care physician decided that she should be examined by a second surgeon. Vascular studies were obtained that showed significant vascular compromise to the lower extremities, most likely from the previous surgical intervention. The new surgeon corrected the vascular obstruction and found that more than 50% of the blood flow distribution had been inhibited due to the prior surgery.