Great insight on a topic not covered by very many. For the right scenario, this surgery is a game changer. Our 17 y/o had UCL internal brace repair surgery in late September performed by an MLB team doctor who has done well over one hundred of this type of procedure. My son had a clean tear on the distal side of his elbow. For 6 months he has rehabbed like crazy to prepare for the end of his HS season and then college. Six months post surgery he is already throwing 5-6 mph harder than before (and we were concerned he might not ever pitch at a high level again). The UCL injury has to be a clean tear to be a good candidate for the surgery and it will take a full year for everything to heal is my understanding. Good luck to those who face this option - there is real hope.