This case involves an 80-year-old man who underwent a right hip resection arthroplasty including removal of femoral head and neck. Several months later, he underwent a right hip arthrotomy and hip abscess drainage at the same hospital. During this surgery, a wound VAC was applied to his hip and packed with a wound VAC sponge. The patient was sent home with home care. The patient’s hip wound never fully healed, and the patient was re-admitted to the emergency room a few months later for additional wound draining. X-rays were ordered and reviewed, but the patient was sent home every time. The patient eventually sought treatment at a different medical center the following year where it was discovered that a VAC sponge had been left deep inside the patient’s hip wound.