Someday

Dude. You had half of one of your internal organs removed. You're a f***ing bada$$.

Dude. You had half of one of your internal organs removed. You're a f***ing bada$$.

Well just got call from hospital. Have to be there 830am not 10am. I guess I got bumped up a bit. Good sooner the better.

Dude. You had half of one of your internal organs removed. You're a f***ing bada$$.

I would say, assume that the patient knows they're fat. Assume that they've been told this many times, by multiple doctors, with varying levels of condescension and exasperation. Assume they understand it's healthier overall not to be fat. Assume that they probably know the basics of how humans are advised to lose weight.
Then treat them like a rational human being and say "At your height and weight, you're falling into the [overweight/obese] category for BMI. That's only one metric for overall health, but excess weight does tend to impact other health issues negatively, so I want to make sure we cover this early - would you like to talk about weight management today? Or would you like to continue on with the rest of your physical?"
If they want to talk about it, great. If not, let them know you're happy to discuss it anytime, then move the hell on. What got me most was doctors who seemed to think I didn't understand I was fat, didn't know what that meant for overall health, and thought I had to be lectured like a child who is just being stubborn about not eating broccoli. Also bad: doctors who returned to the "of course, it would help if you lost weight" diagnosis for EVERY ailment - I know! We covered the whole "be thinner" thing already, now tell me the OTHER things I can do right now to fix this problem!
Making it an optional conversation and making it clear that the doctor is not JUST focused on weight would be helpful. This should definitely be a conversation with the doctor, but if a nurse and doctor talk about it beforehand and the doctor's conversation with the patient results in the patient opting into more info, there's absolutely no reason I can see that the doctor can't say as part of that conversation "Do you want to talk to Nurse Sleeve? IF you're thinking about surgery, she can give you a better idea of what that process involved."

I think some people that are not used to cooking may also have a bit of a hard time as far as preparing their food post op and that’s where some of the questions come from.
For instance a “soft” diet has a technical definition of which most people are unaware. The same as “creamed” Soup does not mean only cream of chicken, etc but it the method of preparing the soup....
Many people became obese due to an over abundance of highly processed and fast food items in their diets. Cooking real food can be a whole new confusing experience for some.

You know, in rereading the OP, you're being kind of gross, considering how easily I can Google your surgeon. And have you considered how she might feel if she Googles herself, or has some sort of Google Alert, and this is what she sees? How many patients does she have named Matt/Matthew? Would it be that hard to narrow down which one of her patients is openly admitting to pleasuring himself to her?

Thank you all for reaching out... I just hope one day someone will treat me as good as I do them..