How can I get over this hangup?

I'm scheduled for surgery on July 30th. I haven't told anyone at work that I've even considered this, and don't really want to. I want to keep this absolutely private, however, they are going to be able to put 2 and 2 together, I would assume, when I take a medical leave and then come back losing weight like crazy. I really want to keep this private and definitley not talk about this at work with anyone. I know I'm eventually going to have to explain the weight loss at some point, so how do I get over this privacy hang-up??? I don't even plan on telling most of my family.

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