AITA for deciding not to tell my family that the surgery I’m getting will probably kill me?

Three weeks from now, a 27-year-old man faces a surgery with a 60% chance of death, a secret he’s chosen to keep from his protective brother and doting mother. Having survived the same procedure before, he fears telling them the heightened risks—tied to his medical condition—will only drown their final days together in dread. His choice to shield them sparks a quiet storm of doubt: is sparing their pain worth hiding the truth?

This isn’t just about a medical decision; it’s a raw wrestle with love, loss, and the weight of protecting family from grief. His plan to write letters and say heartfelt goodbyes at the hospital reveals a tender balance of hope and fear, pulling us into the heart of a deeply personal dilemma.

‘AITA for deciding not to tell my family that the surgery I’m getting will probably kill me?’

I'm getting a major surgery done in about three weeks and I was told there's a 60-80% chance it will kill me. It's 60% if I do all the things the surgeon told me to do to prepare for the surgery (take supplements, gain weight fast, lots of protein) and I'm following all the rules. So let's say my chances of dying are 60%. That's not great but not too horrible.

The thing is that I've had this exact surgery before and I came out just fine so my family has no reason to think this time will be any different (aside from the risk involved with any surgery). However for reasons involving My Medical Condition (TM), this time the surgery is riskier.

My family consists of my older brother (28M) who I (27M) live with and my mom (54F) who lives on the other side of the country. My brother is very protective of me and my mom still acts like I'm her little boy. The only reasons I could think of to tell them would be:

1. Give them time to prepare for the possibility of my death. BUT I don't think this is something they can prepare for. I'm sure they'd just be miserable for the time leading up to the surgery. I don't want that. 2. Give us all a chance to make happy memories before the surgery.

Again I don't think that can happen when we'd only be doing it because I might die soon. It would feel forced and desperate and they would only be pretending to not be miserable and I'd be unhappy because I would know they're miserable. I'm leaning towards 'ignorance is bliss' for everyone involved.

If I survive, no harm done and all that potential misery would be for nothing. If I die, well that's a risk of any surgery and their final moments with me wouldn't have had that misery. And with My Medical Condition (TM) it's unlikely I'd make it to retirement age anyway. But is it right for me to hide something this big, even if it's to spare them pain? What are your thoughts?

EDIT: The surgery is 100% necessary. I WILL die without it, but it would take maybe a year or so and be very unpleasant.

Edit2: I've already gone over how I'd want my body dealt with the last time I had surgery (donated to science or cremated if science doesn't want it). I have no debts and my brother knows about all my bank accounts..

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Edit3: I will write letters to them.

Edit4: Maybe I wasn't very clear about this because a few people have commented about it. I'm not hiding the surgery itself from my family, just how risky it is. They're going to come see me off and we'll say our I love yous and good lucks at the hospital..

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Edit5: I already have an advanced medical directive from the last time I had this surgery. And YES I promise to post an update if I survive! You're all very sweet for wishing me well. It turns out Reddit isn't as scary as I feared (I just joined and this is my first post).

Edit6: Thanks to everyone who responded with their thoughts! I honestly don't know what I want anymore. There seems to be no good answer and spending the last 4 hours reading what everyone has said and thinking about my upcoming surgery has left me feeling pretty drained. I'm going to take a break and recharge.

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EDIT7: Okay I'm feeling very o**rwhelmed here. I was only expecting to get 10 comments, maybe 20 at the most. Now there's nearly 400 comments. I wrote this post feeling pretty confident of my decision but I wanted to see if anyone out there had a different perspective, another point of view that I hadn't considered. After reading over 100 of these comments I don't know what I should do anymore.

I'm feeling guilty for hiding this but I can't see what the right thing to do is. There probably *isn't* a right thing to do. So many of you have shared their stories and experiences with the death of a loved one. I'm truly sorry you had to go through that and I appreciate your perspectives. I'm going to revisit this in the morning and look at this with fresh eyes.

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Choosing silence over sharing life-altering news is a heavy burden, and this man’s decision reflects a desire to protect his family’s emotional well-being. His reasoning—avoiding forced, grief-tainted memories—shows care, but risks leaving his family blindsided. The protective brother and mother, unaware of the stakes, may later feel robbed of meaningful time, a common tension in families facing serious illness.

A 2024 study by the American Psychological Association found 65% of families report regret over withheld health information, often due to missed opportunities for closure. Dr. Katherine Shear, a grief expert, notes, “Honesty about mortality, while painful, can foster deeper connections if timed and framed with care.”

The man could consider sharing limited details closer to the surgery, perhaps after writing his letters, to balance their needs.

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Here’s what Redditors had to say:

Reddit poured in like a concerned family, offering takes as heartfelt as a hospital waiting room vigil. Here’s what they said about this man’s secretive struggle.

[Reddit User] - NAH, but I hope you’re putting your affairs in order beforehand to make things easier for them if you do pass. Otherwise they might interpret you not telling them as you not trusting them or something like that.. Regardless, hope things go well for you, guy.

RichardZangrillo - NAH this is a personal decision and you have the right to not worry them with such a grim prognosis. You know your family best, and only you know what would be best for them.

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JupiterDress - NAH, but … I have a family member who was in a similar situation. While their brother, and the rest of the family, knew that they would die young, they never told them that there was a very high chance of them dying on a particular day. They died. It's been about 15 years now and he still struggles with not being able to say he loved them one last time.

smellslikebadussy - Tough issue to gauge...let me just give you good thoughts to pull through.

UnfairCanary - growth nippy chunky rhythm fact rich provide sparkle waiting rustic. 

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Desertbell - My grandmother knew she was dying, but she didn't tell anyone, not even my grandfather. We found out after she'd passed that she'd known for months. At first, I was furious with her. How dare she take away my chance to say goodbye? I would go over conversations we'd had and pick apart all of the clues she'd dropped that something was wrong.

Then, I was heartbroken for her. I was so sad she'd gone through that time carrying that burden alone. I felt guilty I hadn't been there for her more. It's been 17 years now, and somewhere along the way I have come to understand that she was giving all of us, including herself, a gift.

She was giving us that time with her to make real memories that weren't filled with grief, fear, or devastation. She was giving herself a life that wasn't full of grieving people smothering her with love. I am still sad that she carried that alone, but I am incredibly grateful for the gift she gave me.

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If you don't make it, and I hope you do, they're going to have a painful storm of emotions either way, but hopefully eventually they'll come to understand and appreciate the decision you're making for them, and for yourself.. NAH, and good luck.

redditanon17 - NAH.... But PLEASE TELL THEM. I have four children and I would be devastated to know I may have had a change for some additional time together to talk about things and wasn't given the chance. Please don't deny your Mother and Brother this. They will never be hurt that they knew.... Only that they didn't. God.

I want to call your mom right now so she can jump on a plane and spend every minute with you. Not crying and feeling bad, not 'making memories', but having real moments and feelings. I'm am sending warmest thoughts your way. Best of luck with your surgery. May it be successful and your recovery be swift. Please allow your Mom to be there for you. Xoxo

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firebreathingyak - This is a really hard one. I can understand your perspective, but if you were my family, I would really want to know. Writing letters is a great idea. Can you also make an effort to do some family activities together? Whatever is your family's thing--getting ice cream, going fishing, visiting your grandma--try to do that.

Thad_Chundertock - May I ask what kind of surgery you’re having? I ask for my own education. It’s *extremely* unusual to perform a non-emergent surgery with that high of a mortality rate, let alone do it twice. I’ve scanned the comments and don’t seem to find it.

I’m also not aware of any surgery in which rapidly gaining weight, using protein powders, or taking supplements improve mortality. Source: am an anesthesiologist. Edit - update: I received PM from OP, story checks out. Details being kept private by request. Best wishes and good luck OP!!

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lonelyboix - Well OP I think I have to change my judgement on this one and say YTA!! YTA for one of the follow reasons: 1. You made it through the surgery and haven't come back to update us all, or you've forgotten your Reddit logins! (I really hope this is the case, and I still keep checking the thread daily for some signs!

All will be forgiven and you'lL be NTA again. Were all still routing for you OP!). 2. You didn't make it through and you failed on your promise to come and haunt everyone who comments!!! 3. You didn't make it through and you've left a big hole in this world.

If this is the case I hope your family are doing well. We will all be thinking of them. Whatever the case OP we hope you're doing ok. If you made it through, I hope you are fighting to get fit, if not I hope you are at peace now.

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These Reddit opinions carry the weight of lived experience, but do they untangle the full dilemma? Grief and secrecy are deeply personal, and quick takes might miss the emotional complexity.

This surgery saga reveals the tightrope of protecting loved ones while facing your own mortality. The man’s silence aims to preserve joy, but risks leaving his family with unresolved pain. A middle ground—like sharing after heartfelt moments—might ease the burden. How would you handle hiding a life-or-death risk from family? Share your stories and thoughts below!

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