MJL, so sorry to hear that about your son. Our son, was a HS Junior last year and was injured so after several opinions had the Full TJ performed at the Andrews Clinic in Birmingham early last May by Lyle Cain. Highly, highly recommend the Andrews clinic and Dr. Cain. Son has progressed very well, but it does not come without significant commitment for sure. The PT, daily exercises, and commitment to the rehab and throwing program are certainly keys which our son has followed to a tee and very proud of him for that. In the last couple weeks he actually threw about 15 pitches in game action and on schedule per Dr. Cain's office. The biggest challenge now is the "mental struggle" son has as his arm is sore, but to be expected. It's the new norm for a long while as Dr. Cain and others we have talked to with TJ have said son will experience that. Dr. Cain did say it would be 14-16 months before son is back to 100%, but the gradual uptick in pitch count for each outing and just taking it slow his senior year to get strength back in the elbow. Again, mental challenges have been tough for son, but he's talked to a couple guys who had TJ and their experience and that, I must say, was probably the best medicine for him to hear that from someone that walked in his shoes already. One of the guys, Clark Schmidt, is a former pitcher in our high school and he was drafted (while he was recovering from TJ) 16th overall a couple years ago by the New York Yankees and spoke with our son on the phone last week. Clark really provided some guidance and confidence during that call so know that if this surgery is going to happen for your son know that he can overcome this and be better than ever. Good luck to you and esp. your son.