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To start off with, my son had Tommy John just after turning eighteen. Dr Andrews was his surgeon and this is some of what I learned from talking to him.
Tommy John surgery is for REPAIR and repair only. The surgery isn't performed for the enhancement of an uninjured arm. The reason why a pitcher throws harder sometimes after the surgery is because of the rehab after the surgery. He also told me Tommy John isn't a sure fire cure for all damaged ulnar collateral ligaments. I believe he said he had an 80% success rate and I would think that is pretty good.
Right now my son appears to have had a successful surgery but he followed the rehab program to the letter. Rehab seems to play a big part in the recovery.

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