Guardians right-hander Ben Lively will undergo Tommy John surgery and a flexor tendon repair, the team announced. The righty is expected to miss 12 to 16 months. That means he’ll miss the remainder of the 2025 season and maybe all of ’26 as well. He’s already on the 15-day injured list and will be moved to the 60-day IL whenever Cleveland needs his 40-man roster spot.
“Earlier this week, RHP Ben Lively sought a second opinion on his injured right elbow with Dr. Keith Meister in Arlington, TX,” the club’s statement reads. “Dr. Meister confirmed the presence of a flexor tendon injury while also noting medial elbow joint laxity due to an insufficient ulnar collateral ligament. Both team physicians and Dr. Meister believe the joint laxity is placing added stress on the flexor muscles and have recommended UCL reconstruction along with flexor tendon repair. No surgical date has been set but is expected in the coming days with Dr. Meister. Return to play timeframes in similar cases are 12-16 months.”
Lively was unexpectedly tabbed as Cleveland’s Opening Day starter this season after an illness ruled Tanner Bibee out for that assignment. The 33-year-old didn’t have a great outing, surrendering three runs over five innings in Kansas City. However, he has arguably been Cleveland’s best starting pitcher through the season’s first month and a half. After posting a 3.81 ERA in 151 innings a year ago, he worked to a 3.22 mark across nine starts this year. He’s up to nearly 200 innings with a 3.68 ERA in a Cleveland uniform since signing for a modest $750K as a free agent during the 2023-24 offseason.
It has been the most successful stretch of Lively’s big league tenure. He’d spent parts of two seasons apiece as a depth starter with the Phillies and Royals early in his career. He then pitched in Korea for three seasons before returning stateside with the Reds in 2022. Lively allowed 5.38 earned runs per nine with Cincinnati and was waived at the end of that year. Cleveland saw enough to give him a major league contract, and they were rewarded with generally solid results until he left the mound with forearm pain during a start against the Brewers last week.
There’s a decent chance this will end his Guardians tenure. Lively is playing this season on a $2.25MM contract after qualifying for arbitration for the first time. He’d be due a slight raise next year if tendered a contract. The Guardians will need to decide whether to offer him something in the $3MM range to spend most or all of next season rehabbing, then pay a similar salary for a hopefully healthy ’27 campaign. He’d be nearing his 35th birthday at that point. Lively doesn’t throw hard or miss many bats, so the team may feel they can more cheaply replace his production and non-tender him.
In the short term, it’s a hit to an already questionable starting staff. Cleveland starters rank 19th in both ERA and strikeout rate. They’re 23rd in innings pitched. Lively led the group in ERA. Slade Cecconi, who was acquired from the Diamondbacks for Josh Naylor over the winter, was activated from his own IL stint on Saturday to take Lively’s rotation spot. He worked five innings of three-run ball in his team debut. He slots behind Bibee, Gavin Williams, Luis Ortiz and Logan Allen for the time being. Shane Bieber and John Means are potential second-half reinforcements as they work back from their own UCL procedures.
