Research indicates that hypoalbuminemia generally predisposes to a hypocoagulable state, particularly due to the lack of certain key clotting factors and plasma proteins (such as albumin), increasing the risk of bleeding.[8] In contrast, this patient exhibited minimal intraoperative blood loss, making it difficult for the surgical team to identify significant oozing, which led to an oversight of coagulopathy until late in the procedure when laboratory tests revealed the patient had developed both hypoalbuminemia and coagulation dysfunction. The gene discussed is ALB; the disease is Hypoalbuminemia.