A 58-year-old female Asian elephant (Elephas maximus) was diagnosed with a complete gastrointestinal obstruction and accompanying ileus. She was anorexic for three days, did not pass stool for seven days, and her abdomen was visibly distended. Treatment included: rectal and IV fluids; oral and rectal stool softeners; mineral oil; ketoprofen; laser acupuncture; and fecal transfaunation. The blockage was successfully expelled after seven days yielding a large bolus weighing 52 kg followed shortly by another 45 kg of feces.