The diagnosis and treatment of bulimia in underdeveloped countries is not well documented. The following is a case study of a young Egyptian woman who met the diagnosis for bulimia according to DSM-III-R (Diagnostic and statistical manual of mental disorders, 1987) and was treated in her native country of Egypt. The study examines individual and familial issues relevant to the disorder as well as hypotheses about the effects of conflicts engendered by crosscultural and sociocultural factors on the etiology of the disorder.