Regardless of the healthy fat delusion , is the fact that surgery has become exponentially harder , at least on fat people . I read an article where a surgeon detailed the problem . A thin person is normally easier as cutting the skin gets to the problem area , whether the muscle , tendon , sinew , or organ . A fat person has a huge logistical issue of moving all the fat out of the way , before reaching the actual person . The fat isn ' t safe to move , as it has blood vessels and prone to bleeding , so the surgeon has to watch out for nicking the wrong part while cauterizing along the way , then figuring out the puzzle of reattaching all the fat and stitching everything back together . Add to that the complexity of moving an unconscious whale , using step stools to reach , dealing with a patient that ' s larger than the surgeon so it ' s a coordinated effort with other surgeons and nurses , and operating tables that were never designed to take patients hundreds of pounds overweight . What a nightmare , and it ' s a self induced problem . He claimed it ' s made surgery about four times harder on an obese person than a thin one , and training has needed to be revamped . So this fat woman talking like her size is no big deal and it ' s our fault there ' s fatphobia , she ' s missing a big piece of the puzzle . She ' s at huge risk of complications when she gets older and it ' s her turn to go under the knife .