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I went with the Leslie Nielsen quote from the movie Airplane, "I just wanted to say good luck, we're all counting on you."
Bonus points if you say it when entering the operating room, when given the anesthesia and a third time during the surgery itself
Actually when I made the joke, I got zero laughs in the operating room. I had to explain the joke, and still got no real comment/laugh.
I finally followed it up with a Rodney Dangerfield version of "Tough room" and that got a chuckle finally.
Just randomly wake up during your surgery and say it, and then promptly go back to sleep.