Trichobezoar is generally encountered in surgical practice then during routine psychiatric practice. Trichotillomania and depression are the common comorbid psychiatric disorders associated with trichobezoar, hence it should be always looked for and treated along with its surgical management. This case report of an 11 year old girl further highlights the same. It also underlines the need for early detection of psychiatric conditions in patients with chronic abdominal pain and epigastric lump to improve long term prognosis and for the effective management of the conditions.