Trichobezoar (hair ball) is characterized by the accumulation of hair in the gastrointestinal tract. It is formed by trichophagia (ingestion of hair) and often associated with trichotillomania (compulsive hair pulling) and other psychiatric disorder or neurological problems. We report a case of 19-year-old female who had a trichobezoar. Trichotillomania and depression are the common psychiatric disorders associated with trichobezoar; hence, it should be always looked for and treated along with its surgical management. The patient underwent laparotomy during which a large trichobezoar was removed. This case report highlights the importance of psychiatric and comprehensive approaches.