Rate me stupid, but.....wouldn't the prospective anesthesiologist have already had a look at J's medical paperwork that she submitted to her titty chopper? Would a surgeon run this by one before accepting such a.....um......out of the norm patient for this butchery.....I meant "life saving procedure"?
I mean, I could see doing a "well, this is the patient, make it work" if it was an emergency procedure, like she was in a car accident or something unplanned like that, but there's still some time to go before this operation. Are they really just going to do a "surprise!" to the anesthesiologist the morning of the chop?
(Yeah, I know J probably shaded the truth a bit on her paperwork, but.....the butcher already knows she's incredibly fucking fat, that's why he's doing this procedure in the first place.)