Liposuction is designed to correct the aesthetically uneven distribution of subcutaneous fat in the body. While it is one of the most commonly performed cosmetic procedures worldwide, as with any surgical intervention, liposuction has the risk of complications. These can be either local or systemic and can include visceral perforation. Postoperative complications can be under diagnosed and/or missed; therefore, the aim of this case report and literature review is to encourage physicians to have a high index of suspicion when diagnosing this complication. We report on a 38-year-old female with bowel perforation post liposuction that presented initially as an intestinal obstruction.