This case involves a female patient who on underwent a total hysterectomy to resect uterine cancer. The surgery was lengthy, as the surgeon was sending slides to pathology as the procedure progressed, until he eventually decided on total hysterectomy. The patient was in dorsal lithotomy position for for an extended period of time, beyond the length of the surgery itself. The operative report makes no note of position changes or the use of positioning devices such as wedges. Immediately upon awakening, the patient could not feel her right leg. EMG and other studies confirmed severe femoral nerve palsy. Despite some inprovement in her condition, she continues to suffer from impaired mobility as a result of her injuries.