The Los Angeles Angels says doctors have recommended that closer Keynan Middleton have Tommy John surgery on his right elbow.
Middleton had a second opinion on the elbow after he went back on the 10-day disabled list Monday.
A date for surgery and timeline thereafter has not been announced. Middleton lasted just 12 pitches in the eighth inning of the Angels' 2-1 win over Minnesota on Sunday, abruptly leaving with a 1-1 count on Eddie Rosario.
He had appeared in three games in four days after initially returning from the disabled list with elbow inflammation.