Really, a professional doctor should advise her to lose weight and offer help/programs, then mind his own damn business. He does not own her mind, spirit nor her body. Which is what gets mixed up in socialist societies and cultures where anointed “betters” become belligerent and disrespectful towards their lessors. In the extreme this socialist attitude can lead to a bureaucratic decision to imprison or kill the lessors.
All the pigs are equal; some more equal than others.
She saw the surgeon precisely to have gastric bypass surgery, to lose weight.
The doctor, instead of telling her that she also needs to follow a health lifestyle, told her “you are going on a f*&ing diet”.