We discuss the case of patient who suffered a profunda femoris artery branch pseudoaneurysm following total hip arthroplasty. Notably this is a rare occurrence following anterolateral approach total hip arthroplasty. Adding to the diagnostic difficulty was the timing of presentation occurring in the subacute rather than the acute post-operative period. Presentation of a pseudoaneurysm following hip surgery can be variable. It is vital to note diagnostic clues as pseudoaneurysm can pose catastrophic consequences to the patient.