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José Berríos Set for Elbow Surgery as Toronto’s Rotation Faces a Deepening Crisis

5/17/2026, 2:46:06 AM

Injury Overview and Surgery Plan

Toronto’s right-hander José Berríos, 31, is slated to undergo elbow surgery on Wednesday. The procedure, performed by Dr. Keith Meister, will repair a stress fracture diagnosed in March 2026 and remove loose bodies from the joint. Surgeons will also assess the elbow for possible ligament damage, a factor that could extend recovery. Team officials said the exact nature of the operation will be determined once the surgeon is inside the joint.

Season Context and Performance Metrics

Berríos has not pitched in the majors this season; his last MLB appearance was on Sept. 24, 2025. In 2025 he logged a 9-5 record with a 4.17 ERA, 138 strikeouts and a 1.30 WHIP over 31 outings (30 starts). Earlier, a 2024 campaign produced a 3.60 ERA.

During four minor-league rehab starts (two at Single-A Dunedin, two at Triple-A Buffalo) he posted a 0-1 record, 10.67 ERA, 1.81 WHIP, allowed a .322 batting average, and saw his fastball velocity dip to 90.1 MPH from the mid-90s range of prior seasons.

Berríos is under a seven-year, $131 million contract signed in 2021, earning $19 million in 2026. The deal includes a player-option opt-out after the season; analysts expect him to opt-in, committing the club to $24 million AAV for 2027-2028.

The Blue Jays sit 19-25 (fourth in the AL East, 10.5 games behind Tampa Bay) at the time of reporting.

Impact on Toronto’s Pitching Staff

The rotation is already thin. Injured starters include Shane Bieber, Max Scherzer and Cody Ponce; Eric Lauer was designated for assignment. Spencer Miles has been stretched for innings, and left-hander Adam Macko was added to the taxi squad. With a 17-game stretch looming, the club lacks a clear fifth starter, and the market for mid-season trades is constrained.

Official Statements from Team Management

Manager John Schneider confirmed the surgery will address the fracture and any loose bodies, while noting that ligament involvement will be evaluated intra-operatively. He emphasized reliance on the medical team, stating that doctors have the final authority and the club will follow their guidance. Schneider also referenced the inherent risk of pitching and described the decision-making process as a collaborative effort with Berríos.

Concerns Over Rotation Depth and Financial Stakes

Observers highlight that Berríos’ absence compounds an already depleted rotation, forcing the Jays to lean on less experienced arms and limiting flexibility during a demanding schedule. The potential long-term loss of a high-value pitcher also raises questions about the $131 million commitment, especially with an upcoming opt-out clause.

Conflicting Reports and Uncertainties

Sources differ on ligament status: some report no ligament damage after consultation with Dr. Meister, while others maintain “some ligament stuff” may be present, leading to recovery estimates ranging from a few months to 12-18 months (the typical timeline for Tommy John surgery). Additionally, a few outlets described the surgery decision as still pending, reflecting evolving information.

Verbatim Quotes

  • “There may be some ligament stuff going on,” Schneider said. “They’re going to figure that out when they’re in there.” — John Schneider, Blue Jays manager
  • “Doctors know more than me, you know what I mean?” Schneider said. “Giving him the green light … and then as soon as a doctor says, ‘stop going,’ you stop.” — John Schneider, Blue Jays manager
  • “There's always risk with pitchers, right?” the manager said. “That’s risk that both he and we accepted when we said ‘keep throwing.’” — John Schneider, Blue Jays manager
  • “Surgery is on the table,” Schneider said. “It’s an option at this point. We’re just trying to figure out if that’s the route we’re going to go.” — John Schneider, Blue Jays manager
  • “We were hoping his last one would be a turning point the other way, but it kind of just stayed the same. That’s where you go, ‘OK, let’s see if something is going on physically.’ Everything seemed to be trending in the right direction until the last two.” — Ben Nicholson-Smith, Blue Jays reporter (X)
  • “Jose Berrios to undergo elbow surgery on Wednesday. Specifics TBD but will either address the fracture/loose bodies in his elbow or also deal with a ligament issue Berrios is facing. Could be as short as a couple month recovery. Or as much as 12-18 months,” — Ben Nicholson-Smith, Blue Jays reporter (X)

What’s Next

Post-operative imaging will determine whether ligament reconstruction is required, shaping the recovery timeline. The Jays will evaluate rotation options during the upcoming 17-game stretch and monitor Berríos’ contract status as the season progresses.