This case involves an elderly male patient who required surgery to repair an ankle fracture he sustained while skiing. The patient had seen an orthopedic surgeon in the past but elected to see a different surgeon for this procedure because of a negative experience with his previous physician. The new surgeon performed the operation without taking new x-rays and relying on imaging studies from previous doctors. Within several weeks of the surgery, the patient began to feel pain and discomfort in his ankle. He consulted the surgeon, who claimed that the pain was a typical side effect of the procedure and that there was no cause for alarm. After 6 months of pain, the patient consulted yet another orthopedic surgeon, who took new x-rays of the patient’s ankle. It was finally discovered that a bone fragment was not removed during the initial operation. The fragment had caused severe damage to the patient’s tendon and he required additional operations to repair the damage.