You can use transformwith sizeand then filter by boolean indexing:
print (df)
user_id item_id
0 1 15
1 1 26
2 1 31
3 77 15
4 77 26
5 77 31
6 45 15
7 45 26
8 45 31
9 370 293
10 471 380
11 280 100
12 280 118
13 219 118
print (df.groupby('user_id')['item_id'].transform('size'))
0 3
1 3
2 3
3 3
4 3
5 3
6 3
7 3
8 3
9 1
10 1
11 2
12 2
13 1
Name: item_id, dtype: int64
print (df[df.groupby('user_id')['item_id'].transform('size') == 3])
user_id item_id
0 1 15
1 1 26
2 1 31
3 77 15
4 77 26
5 77 31
6 45 15
7 45 26
8 45 31
Solution c filtrationworks slower:
df = df.groupby('user_id').filter(lambda x: len(x.item_id) == 3)
print (df)
user_id item_id
0 1 15
1 1 26
2 1 31
3 77 15
4 77 26
5 77 31
6 45 15
7 45 26
8 45 31