Well leg compartment syndrome refers to the occurrence of compartment syndrome in an uninjured limb in the absence of an underlying systemic predisposing cause. It is a rare phenomenon with devastating clinical consequences resulting from commonly utilized operative positions and requires a high index of suspicion for diagnoses. There are only a few reports in the literature and a lack of awareness of the condition. Identifying patients with at risk predisposition and increasing surveillance in these patients may allow for early detection and decrease the morbidity and potential mortality associated with well-leg compartment syndrome.