Introduction: Women with eating disorders have often been denied plastic surgery. We have previously reported on a series of 6 women with bulimia nervosa who presented with symptomatic macromastia. Five patients underwent reduction mammoplasty and reported relief of physical symptoms and improvement in psychological well-being. The aim of this study is to evaluate the long-term post-operative satisfaction and recovery from eating disorders. Methods: Patients participating in the original study were contacted for a 10-year follow-up telephone survey. Data regarding preoperative, postoperative and current physical symptoms, body dissatisfaction, and eating attitudes measured by the EAT-26 survey, were obtained. Results: We obtained data from 4 patients. All patients maintained consistent recovery from their eating disorders. A statistically significant improvement in eating attitude was found in the EAT-26 survey. Body dissatisfaction, pain and physical symptoms also had consistent improvement at 10-year follow-up. Conclusion: Macromastia can become a secondary cause of eating disorders. Surgical correction of macromastia in such patients can lead to permanent amelioration of associated eating disorders. The presence of an eating disorder should not automatically exclude a woman from surgical consideration. Preoperative evaluation of young women seeking plastic surgery with a set of standard questions regarding eating behaviors is strongly suggested.