Total Elbow Arthroplasty (TEA) is an increasingly used motion-preserving modality for the treatment of many debilitating elbow pathologies. Primary indications include rheumatoid arthritis, post-traumatic arthritis, and intra-articular distal humeral fractures in the elderly with poor bony quality. A 25-year-old man presented to PSH with bilateral elbow deformities and an inability to bend or straighten both elbows for 5 years. He was diagnosed to have a condition called bony ankylosis of the elbow joints due to the previous injury. He was unable to feed himself or do any of his activities of daily living and had to depend on either his brother or friends in the village for each and everything. He visited many hospitals across Gujarat and was told that there was no possible treatment for his elbow condition. He wanted some movement in his right elbow so that he can eat and drink by himself and perform daily activities. This was addressed and a novel operating procedure was planned a