Sometimes you get a patient who makes you wonder. Max, pseudonym, was an eighty two year old male who came to the attention of the Waikato Vascular service in 2025. He came with an extensive medical background of chronic autoimmune thrombocytopenia, myelodysplastic syndrome, rheumatoid arthritis, systemic lupus erythematosus, IHD, gout, lumbar spine degenerative disease, hyperlipidaemia. Fatty liver disease, chronic skin ulcers & bilateral THJRs. He came into hospital initially with a non-healing ulcer on a left pre-tibial site and subsequently had a BTM graft. Discharged home to his retirement village unit but represented in November with his BTM graft infected. Conventional dressings were applied post graft removal. Subsequently had an angioplasty in December. By the end of January, the DNs described the wound as much improved. He represented acutely in April with right limb threatening ischaemia having had a further left leg angioplasty in the interim. By this time, he also had a necrotic toe on the left leg. He had large oedematous legs that were very leaky. Dressings of betadine to the toe & zetuvit with toe to knee crepe bandaging on the legs along with bed rest proving effective. A failed angioplasty to the right leg led to a right femoral anterior tibial artery bypass using reversed spliced GSV. Five days post op I reviewed the right leg that now had extensive necrotic areas and black toes. Not what I was expecting. Discharged four weeks later where the DNs struggled with his dressings. His last admission was on the 10th of June for an evacuation of a right thigh haematoma and repair of the infected graft. Subsequently transferred to HDU from ward after MET call for hypotension, tachycardia and groin bleeding. Taken to OT but no repair possible due to friable tissue. At time of submitting patient was palliative and unfortunately passed away on 23/6/26. In twenty one years, I have never seen a case like this prompting me to ask Is Intervention Always the Right Option?