I have often been as skeptical as most of the Twins medical and training staff but I really don't think there is anything to be critical about here. As stated in the Berardino blog: There was some discussion between Sano’s camp and the Twins about having Tommy John surgery at that point, which might have put him back on a field sometime during the first half of the 2014 season. Sano traveled to the Twin Cities for a full exam in November and also went to see noted orthopedist Dr. James Andrews in Birmingham, Ala. The decision was made at that time to keep Sano shut down from all throwing until his elbow improved with rest. For anyone who has been living in a cave and hasn't heard Dr. Andrews' name previously, here's an interesting interview with him: http://msn.foxsports.com/nfl/story/the-man-on-the-cutting-edge-with-athletes-10-questions-with-dr-james-andrews-011414 He is basically the "gold standard" of orthopedic surgeons. Despite all of the advances in medicine, there is still a lot of "art" to go along with the science especially when it comes to diagnosis and appropriate treatment. I've had several relatives and friends who died either in routine surgery or shortly thereafter -- these were otherwise healthy people who died of reactions to tests, untreatable post-op infection, etc. NO SURGERY is entirely without risk -- even for someone young and healthy. And yes, there have been players for whom the "wait and see" game has worked. We just don't hear about them as often as those who undergo the knife.