This case involves an overweight middle-aged female patient who was diagnosed with an endometrial polyp following a hysteroscopy. She presented to an OB/GYN for a second opinion regarding treatment options. The OB/GYN discussed hysterectomy versus hormonal treatment but the patient chose to undergo a total abdominal hysterectomy. During the procedure, the surgeon realized the uterus had grown too large to be removed from the vagina. It was decided that the uterus would be removed in pieces through an abdominal incision. Surgical pathology later revealed the patient had stage II endometrial cancer. When the patient asked how she could have cancer, the surgeon informed her the physician who performed the hysteroscopy had missed a polyp. Following her surgery, the patient had persistent abdominal pain and was referred for an abdominal CT. The scan showed several masses at the abdominal incision site and a CT-guided biopsy revealed metastatic adenocarcinoma. It was alleged that the tumors were of gynecological origin with endometrial histology. The patient underwent chemotherapy and many sessions of radiation therapy but continues to suffer from recurring fluid collections. An expert in gynecological oncology was sought to discuss how hysterectomies can lead to metastasis.