The patient 43-year-old woman with very large breasts, causing severe neck pain, shoulder pain, upper back pain, and grooving from her bra straps. She underwent a breast reduction with removal of 1811 grams from the right breast and 1841 grams from the left breast (approximately 4 pounds from each breast). She is seen approximately 2 months after surgery, reporting substantial improvement in her back, neck and shoulder pain.