A nurse takes a picture of an obese patient at surgeon Dr. Alexandre Lesage's office to prepare for surgery at the Saint Jean d'Angely Hospital, in Saint Jean d'Angley, southwestern France, January 24, 2013. The patient hopes to lose some 50 kilos (110 pounds) in the next year after she undergoes surgery for obesity. Picture taken January 24, 2013. REUTERS/Regis Duvignau (FRANCE - Tags: HEALTH)