"Mia", an 18 month-old, spayed female mixed breed dog, presented to the Triage Service at the Cornell University Hospital for Animals (CUHA) approximately 24 hours following involvement in a road traffic accident. Initial assessment and stabilization was accomplished at a local emergency veterinary clinic. Mia was then transferred to CUHA for additional diagnostics and treatment. Diagnostics at CUHA revealed pulmonary trauma as well as multiple pelvic fractures and a left femoral fracture. The femoral fracture was plated; the ilial fracture fragment, which involved the cranial aspect of the acetabulum was excised. This paper discusses "Mia's" pre and post surgical treatment, the decision making process in choosing an effective treatment strategy for the pelvic fracture patient, and some common coincidental injuries found in patients sustaining pelvic fractures.