We present our case of a laparoscopic right hemicolectomy done through a single small incision. The patient is a 63 year old female with a cecal volvulus that caused intermittent right lower quadrant pain for one year. Her past medical history includes atrial fibrillation for which she takes Coumadin. Her colonoscopy was significant only for a hyperplastic polyp. An elective procedure was done through a Coumadin window. Using a flexible tip laparoscope, articulating instruments, and ultra-short ports, we were able to complete this procedure through a two centimeter incision. Total operating time was 75 minutes.