The study examined the determinants and impacts of menu choice (familiar food versus novel food) in an authentic Chinese restaurant setting. A conceptual model is built to explore the linkages between determinants (perceived risk taking, physical environment, and service quality) and outcome variables (disconfirmation, customer satisfaction, and loyalty). A structural equation modeling analysis revealed that perceived risk-taking had significant effects on the in menu choice regarding the familiarity, while menu choice had significant effects on disconfirmation, which in turn had a significant influence on customer satisfaction. Additionally, customer satisfaction had significant impacts on both revisit intention and word-of -mouth intention. The results of the study will benefit restaurateurs on marketing strategies.