This case involves a middle-aged female patient with a history of cervical dysplasia who required a vaginal hysterectomy. Several days after the procedure, the patient presented to the hospital with abnormally low blood pressure. She was diagnosed with a postoperative hemorrhage but wasn’t seen by general surgery until 4 days later, in spite of persistent complaints of fatigue and abdominal pain. Her examination revealed acute abdomen and a subsequent CT demonstrated a fluid build up in her upper abdomen. The patient was diagnosed with perforation of the small intestine and within a few hours, she went into septic shock. An expert in gynecology with experience performing hysterectomies was sought to opine on the standard of care in this case.