The case is a D&C hysteroscopy.
The patient is 28 years old and admits to weighing 475 lbs.

Surgery should last 10 -15 mins (if the video equipment is in order, it's often not)

Patient has:
hypertension
GERD - she says controlled now that she's on Prilosec
severe lymphedema of the lower legs

Non smoker. No other health problems documented.

Pre-op work up: CBC, lytes, HCG

Surgeon requests IV sedation, (but we can do whatever will work).

Cannot get into stirrups, nurses have to hold her legs in position. Oh gawd......

Any suggestions on how to pull this one off?

It was not good. I only wished I had this experience as a student.