Possibly because someone is even more theologically lost than the Pope.
I doubt that he was approached about the situation before the surgery.
Sometimes things slip through the cracks nearly inexplicably: I am reminded of an Easter Vigil where, some how, a lemon made its way through the hands of two assistant MC’s, into a basin which was part of the gear hauled by two altar boys under the supervision of the MC to the chair of the celebrant for the cleansing of the fingers from the Holy Oils, with the celebrant being the first to discover that the lemon was uncut. Fortunately, the celebrant was given the grace, and corresponded to it, to react with a smile.