How to approach sex problems with injuries/health issues

Hi all, This is my first post...I wasn't really sure who else I could ask about this. So... my husband's in the military and about 2 years ago he developed a hip problem from overexercising or something. It got worse over his deployment last year and now it looks like it's either surgery or no fix. But he doesn't want to have surgery. However our sex life has gone WAAAAY downhill lately. As a result of him doing military training for those with injuries, he's gained a lot of weight and is definitely not in the shape he was a few years ago. I know, no one looks the same forever, but I think that spouses owe it to each other to 'try'. Our sex problems aren't just him not being able to 'do it' certain ways, but also foreplay, etc. But I feel guilty at the thought of bringing anything up since he has this hip problem. What's a girl to do?

Put the internet to work for you. via Personal Recipe 2629979