The objective of this study was to assess the impact of food service menu type (i.e., non-select versus select) on weight restoration and eating concern for adolescent patients hospitalized with Anorexia Nervosa. Charts of 40 adolescents (mean age 13.3 +/- 2.2 years) were reviewed. Rate of weight gain was significantly increased when non-select menus were used (0.95 kg/wk versus 0.72 kg/wk [p < .03]). No significant differences in total weight gain, length of stay, or eating concern were observed. Non-select menus significantly increase rate of weight restoration in children and adolescents hospitalized with Anorexia Nervosa.