Step 1: Read this as an odd-one-out item. Three choices should genuinely raise the chance of a clot in a deep vein, and one will not.
Step 2: Group the true risk factors. A long operation lasting over half an hour keeps the patient still and lets blood pool in leg veins. Excess body weight worsens this pooling and shifts the blood toward clotting. Pills containing oestrogen and progesterone are classic drug-related causes of clots because they increase circulating procoagulant factors.
Step 3: Now test the age option. The danger from age comes from being OLD, not young. Patients beyond 40 and especially the elderly clot more easily. A person under 40 years is at lower baseline risk, so describing youth as a risk factor is wrong.
Step 4: The single non-risk choice is age below forty years.
\[\boxed{\text{Age less than forty years}}\]