Gray out most of 2025 after Tommy John surgery, internal brace procedure

Josiah Gray

Josiah Gray underwent Tommy John surgery, plus an additional procedure to further stabilize his right elbow, officially ending his 2024 season and guaranteeing the Nationals’ Opening Day starter will miss the majority of the 2025 season as well.

Gray, who learned last week he had a partial tear of the ulnar collateral ligament in his right elbow, flew to Dallas to be operated on today by orthopedist Keith Meister, who left open the possibility of performing only the less invasive internal brace procedure.

In the end, Meister determined the tear to be significant enough to warrant the full ligament replacement surgery named for the famed left-hander whose career was saved by the then-experimental procedure in the 1970s, plus the internal brace procedure, which reinforces the new elbow ligament.

Typical recovery time for Tommy John surgery is 12-to-18 months, so even in a best-case scenario, Gray would only be ready to return late in the 2025 season.

“He’s going to miss time, as we all know,” said manager Davey Martinez after announcing the news following tonight’s 12-3 loss to the Padres. “But he’s doing well. He feels good about it. … He’s got a long road, he knows that. But knowing him, he’s going to work really hard to get back.”

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