If pressure injuries to neuromuscular, vascular, and tissue structures are to be avoided, care in the positioning patients on the operating table and in preparing for anesthesia is always important. Avoiding excessive traction of upper and lower extremities adjacent to major nerves will also limit dangerous neurologic sequelae. Here, we report the case of a 44-year-old male patient who underwent a radical subtotal gastrectomy. He suffered postoperative weakness in both arms. This article presents that case of bilateral brachial plexus palsy after a radical subtotal gastrectomym as wekk as a review of the literature.