This legal case concerned a patient who had developed eight uterine fibroids and required a myomectomy to remove the tissue. During the myomectomy, there was a miscount between the number of uterine fibroids removed and the number indicated in earlier pathologic findings. Post operatively, the ultrasound revealed that the treating OB-GYN failed to remove the largest uterine fibroid, which was nearly the size of a tennis ball. The patient required an additional surgery and developed numerous complications as a result of the extra procedure. An expert in fibroid removal was required to opine on the procedure.