It is disturbing to learn that approximately 87% of trafficked individuals were seen by a health care provider while they were with their capturer (Bauer et al, 2019; Mason, 2018; Schwarz et al., 2016). Every year, approximately 18,000 people are brought to the United States and coerced into labor or sex work (Bauer et al, 2019; Cheshire, 2017). Traffickers target innocent individuals and sometimes families wanting better for their children (Hartinger-Saunders et al, 2017). Unfortunately, traffickers may be acquaintances or family members of the victim, making it difficult for health care providers to quickly identify traffickers because they may not exhibit obvious and common attributes (Leslie, 2018). Trafficking victims frequently present with common health issues that often include, sudden illnesses, drug overdose or toxic exposures, pregnancy or abortion, or an untreated chronic disease such as diabetes. Medical surgical floors have an opportunity to treat these individuals when chronic disease is present, conceivably giving them a chance to feel confident with the nurse and potentially establishing a trusting relationship. The potential victim’s assessment should include precise documentation of information regarding wounds that involve mouth, skin, genital or anal areas (Leslie, 2018). Fortunately, there may be tell-tale “red flag” signs that can be used to identify undetected victims helping us all detect this crime immediately. This presentation will define what sex trafficking is, help healthcare workers to assess their patients regarding what to look for, and comprehend how this dilemma can exist in the United States.