Sad truth.
I have had that character's sentiment before. Except mine was that I had over a hundred to lose, and since a fair bit of what I ate was healthy, but I ate too much (esp. too many carbs), the words in that cartoon for me would have been except diet or decrease calories and exercise. It was just too much effort pre-op, for not enough reward. I do exercise more now, and it is so much easier than it used to be.