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What percentage of Tommy John surgeries are successful?

Author

Mia Kelly

Published Jan 16, 2026

Talk to an Orthopaedic Specialist. When Tommy John underwent the first ulnar collateral ligament reconstruction in 1974, it was estimated that he had a “one in 100” chance of returning to baseball. Today, approximately 85 percent of pitchers who receive Tommy John surgery return to the mound after a year of recovery.

How many people return from Tommy John surgery?

Benefits of the Surgery

In a study of 179 Major League Baseball pitchers who suffered UCL tears and had Tommy John Surgery, 148 players, or 83%, were able to return to play in the Major League. Additionally, 174 pitchers could return to play in the major and minor leagues combined.

What is the most common complication of Tommy John surgery?

The most common complication of medial UCL reconstruction (Tommy John surgery) is postoperative paresthesia, which occasionally requires a secondary surgical procedure [3, 9, 12].

What is the average age for Tommy John surgery?

When a baseball pitcher tears their UCL it is surgically reconstructed. This is commonly known as 'Tommy John Surgery”. The rates of these surgeries are on the rise. Most strikingly, the incidence of Tommy John surgery in the 15 to the 19-year-old age group is increasing at an average rate of 9.12% per year.

Can you still pitch after Tommy John surgery?

Ulnar collateral ligament (UCL) replacement - or the Tommy John Surgery - can take up to 18 months before a return to the pitch. Orthopedic surgeon Dr. Peter Chalmers, explains how the recently developed UCL repair procedure could help injured baseball players get back to full throwing speed in just six months.

15 related questions found

Do pitchers throw faster after Tommy John?

After surgery, a pitcher's workload typically decreased without a change in their performance per inning. Hence, pitchers do not perform worse after UCL reconstruction, but they do pitch less after surgery.

Is the UCL stronger after Tommy John surgery?

Dr. Leland co-authored a study, published in the American Journal of Sports Medicine in February 2014, which found no significant difference in pitch velocity between players who underwent Tommy John surgery after a UCL injury and those who were never injured during the same time period.

What percentage of MLB players have had Tommy John?

Moreover, the aforementioned website stated that at the time of Dr. Frank Jobe's death in the spring of 2014, one-third of all MLB pitchers have had Tommy John surgery. It also stated that during the 2000s an average of 16 pitchers had the surgery each year. And, in 2012, a record 36 pitchers had the surgery!

What is Tommy John disease?

Tommy John surgery is another term for ulnar collateral ligament (UCL) reconstruction. It's a procedure to treat an elbow injury that tends to occur among throwing athletes, such as baseball pitchers. Tommy John was a long-time Major League Baseball pitcher, and he was the first to have this now-common surgery.

How long does it take to recover from Tommy John surgery?

Rehabilitation from Tommy John surgery usually takes about a year. In some cases, up to 2 years are needed for athletes to return to their previous level of ability. Other types of UCL surgery may not need this much rehabilitation.

How long is recovery from UCL surgery?

Patients can expect the entirety of Phase I recovery to take about 6 weeks. Phase II. Approximately 6 weeks following the surgery, elbow and shoulder strengthening exercises are advanced. It's important to know strengthening exercises should not be limited to just the elbow.

How much does Tommy John surgery cost?

Tommy John surgery takes about an hour on the operating table. What follows is at least 364 days of rehabilitation. Cost of the surgery, according to a Gainesville (Ga.) Times story that cited the Georgia Sports Orthopedic Specialists center, is more than $15,000, and that doesn't include rehab.

Why is Tommy John surgery so common?

According to Dr. Erickson's study, more than 56% of the pitchers surveyed who had Tommy John surgery grew up in warm weather climates. Many of them played year-round as a result of the climate instead of only playing seven or eight months a year.

What percentage of major-league pitchers had Tommy John surgery?

More than 25 percent of the league's pitchers in 2018 have undergone Tommy John surgery at some point in time. That's a surprisingly high figure, demonstrating how common the procedure is, as well as how pitchers have been successfully able to pitch in the majors after the surgery.

Can you have multiple Tommy John surgeries?

After Padres pitcher Mike Clevinger underwent a second Tommy John surgery last year, the San Diego Union-Tribune reported that he was the 43rd Major League pitcher to have the procedure a second time. Most either did not pitch in the Majors again, or had brief and unsuccessful returns.

Did Roger Clemens have Tommy John surgery?

They wound up at the famous Andrews Sports Medicine & Orthopaedic Center in Birmingham, where Roger Clemens, Michael Jordan, Drew Brees, and John Cena, among other top athletes, have been treated. Tommy John surgeries were performed here on pitchers John Smoltz, David Wells, and Kerry Wood.

What is repaired in Tommy John surgery?

Tommy John surgery is the procedure performed to repair a damaged ulnar collateral ligament, which is a triangle-shaped ligament in the elbow that helps stabilize the joint.

Does Tommy John surgery improve performance?

No. Surgery will not help you perform any better than you could before your injury. Also, as with any surgery, there are risks. Only about 80 to 83 percent of professional baseball players return to the same level of performance after having Tommy John surgery.

What is done in Tommy John surgery?

Ulnar collateral ligament reconstruction (also known as Tommy John Surgery) is a procedure where the ulnar collateral ligament in the medial elbow is replaced with a tendon from elsewhere in the body.

How many Tommy John surgeries has Nathan Eovaldi had?

MLB Notebook: Nathan Eovaldi, with two Tommy John surgeries in his past, expects big things right away from Chris Sale. Every procedure is different of course, as is every player.

How many MLB pitchers had Tommy John surgery?

Jacob deGrom, Stephen Strasburg, Adam Wainwright and David Wells are among several well-known pitchers to have thrived after the surgery. Just since March 2018, 36 pitchers have had the surgery and pitched again in the majors.

Can you pitch without a UCL?

Can you even pitch without a UCL? If you have a complete rupture or “disintegration” of the UCL in your elbow, and you are going to continue to play baseball, surgery is likely the way back. However, you can pitch without a UCL.

How long did Tommy John pitch after surgery?

Dr. Jobe gave Tommy John a 1-in-100 chance of pitching again after the surgery, and John took it. Not only did he pitch again, he pitched for more than a decade. John won 164 games over 14 seasons after undergoing his eponymous surgery.

How often do pitchers suffer another arm injury after having Tommy John surgery?

Suffering another arm injury after having Tommy John Surgery is common. In one study within Major League Baseball, 28-37% of pitchers who underwent Tommy John surgery had another injury to their arm later in their career.