A 9 years old girl presented with intermittent epigastric pain and vomiting for 5 months. Physical examination showed a thin pale girl with no significant abdominal finding. She had hypochromic microcytic anemia. Her barium contrast studies of upper GI tract revealed a large, mottled intraluminal space occupying lesion with a honeycomb appearance in the fundus of stomach. Delay films, taken 3 hours later, showed multiple, small, intraluminal filling defects in the duodenum. A radiological impression of gastrointestinal bezoar was made. She admitted to a history of tricophagia for many months. Keeping in view of large size of bezoar, surgical removal was planned. On laparotomy, a large hair ball extending from stomach into the duodenum and proximal jejunum was removed. Post-operative recovery was good and she was discharged after adequate psychiatric therapy.