With changes in lifestyle habits and reduced diagnostic thresholds for hypertension, the prevalence of hypertension among young individuals is expected to rise. We become aware of the adverse effects of pharmacological interventions related to anaesthesia. We present a case in which refractory hypotension emerged after the induction of anaesthesia for orthopaedic surgery. The procedure went smoothly, and there were no issues with the extubation in the intensive care unit. The patient required significantly more pharmacological support over an extended period of the procedure after developing refractory hypotension following an induction phase of anaesthesia that was resistant to fluid resuscitation. We present the case while addressing the current management and potential future management for a foreseeable future strategy.