This 25 year young lady, 5’4” and 155lb., developed excessively large breasts at the age of 14. She has suffered with significant shoulder pain, neck and low back pain and was unable to get any relief. Her breasts impacted her quality of life and job performance. She had breast reduction surgery and is thrilled with the outcome of her surgery. She is no longer restricted by pain stemming from by her large heavy breast. She is seen 3 months post op.