Comparison of learning curves and cross-over effects using articulating laparoscopic instruments versus standard laparoscopic instruments.

Obesity has emerged as a critical public health concern, with substantial evidence highlighting its widespread impact on individuals and societies. Recent studies point to the global rise in obesity rates, emphasizing its link to increased risk of chronic diseases such as type 2 diabetes, cardiovascular disorders, and certain cancers [, ]. The economic consequences of obesity are also significant, with rising healthcare costs driven by obesity‐related illnesses and a corresponding decline in productivity [, ]. The perceptions and preferences of people with obesity are underrepresented in global literature [, ]. For example, although research demonstrates variations in how interventions affect people with obesity compared to those with a normal BMI [, ], clinical trials continue to lack adequate representation of individuals with obesity [], resulting in limited inclusivity. This exclusionary trend restricts the generalizability of findings and hampers the development of evidence‐based interventions tailored to the diverse needs of those with obesity. Stigmatization and discrimination linked to obesity often discourage individuals from participating in studies due to fear of judgment or biased treatment [, ], contributing to experiences of societal exclusion, external judgment, and environmental stigma []. This social stigma is further reinforced by pervasive stereotypes and negative attitudes within society and healthcare settings [, ] and is experienced across multiple domains in daily life []. Additionally, research infrastructure and recruitment methods may inadvertently contribute to the underrepresentation of individuals with obesity. Obesity stigma and discrimination are prevalent in many areas of life, including healthcare, employment, education, and social relationships [, ]. Photovoice is a participatory action research method in which participants use photographs and accompanying narratives to document and reflect on their lived experiences, foster critical dialogue about community issues, and advocate for change with decision‐makers [], which has been widely used to explore lived experiences and decision‐making in obesity contexts [, ]. Photovoice is well‐suited to this cohort because it aligns with participatory, equity‐oriented approaches that treat lived experience as expertise and seek to translate community insights into action [, ], including addressing gaps in the design and implementation of obesity prevention and treatment interventions []. Rather than framing people living with obesity through a deficit lens, Photovoice engages them as partners who can articulate social, environmental, and systemic contexts and help set research priorities [].