A 62-year-old female patient presented to the ER with intermittent dull back pain for 2-3 weeks. She was previously seen at her primary care doctor, diagnosed with a UTI and sent home. The imaging results obtained in the emergency room suggested a possible aortic dissection and the patient was rushed to emergency surgery. Upon opening the abdominal cavity the doctor reported in his surgical note that there was a minimal tear and he performed a conservative repair. Shortly after the patient was discharged she received an anonymous note from a nurse stating that during the surgery, after opening the chest, the patient was found to have essentially a normal aorta without any dissection or aneurysm and despite the opinion of the OR team, the surgeon performed an extensive surgery and completely disregarded the patient’s safety in what presumably seemed as a way to overbill for his services.