Severe anemia may not be a contraindication to debridement in a Jehovah's witness patient with necrotizng fasciitis of the lower extremity - A case report.

•Necrotizing fasciitis should be recognized early and transferred to an tertiary surgical center for management.•Surgical approach should be focused on the principal of “less is more” in regards to surgical debridement technique.•Patient values were upheld, being a Jehovah’s Witness.•A multidisciplinary approach is critical for best prognosis.