36 year female with a 15-year history of neck, back and shoulder pain from large, pendulous breasts. Underwent gastric bypass surgery and lost 120 pounds. Bra size changed from 38 G pre-bypass to 34 F post bypass, but neck, back, and shoulder pain did not improve. Dr. Holzman performed breast reduction surgery and removed 555cc from Right breast and 590 cc from the left breast. The patient now symptom-free and has beautiful breasts.