Red Sox pitching prospect Juan Valera underwent Tommy John surgery on Tuesday, according to senior director of player development Brian Abraham.
“Juan Valera underwent successful reconstruction of the right elbow ulnar collateral ligament yesterday,” Abraham told The Boston Globe on Wednesday. “The procedure was performed by Dr. Jeffrey R. Dugas at Andrews Sports Medicine & Orthopaedic Center in Birmingham, Ala.”
Valera, who turns 20 later this month, injured his pitching elbow in the second inning of his third start of the season for High-A Greenville on April 16. The young right-hander was in visible discomfort after delivering his 22nd pitch of the night. He crouched behind the mound and talked with his teammates and coaches before leaving the field with a trainer.
Initially, the injury was diagnosed as elbow inflammation. The Red Sox held off on imaging until the swelling subsided, then sent Valera for additional opinions last week. It appears the most recent MRI revealed the worst-case scenario, prompting the decision to have Valera go under the knife on Tuesday.
For Valera, Tuesday’s surgery marks the abrupt end to a 2026 season that got off to a promising start. In three starts for Greenville, the 6-foot-3, 205-pound righty allowed just two earned runs over 9 1/3 innings (1.93 ERA), striking out 17 and walking four while holding opposing hitters to a .125 batting average. He reached 101.7 mph with his upper-90s fastball on April 9 and also incorporated a slider, sweeper, and changeup into his pitch mix.
A native of the Dominican Republic, Valera originally signed with the Red Sox for $45,000 as an international free agent in April 2023. Following an uninspiring professional debut in the 2023 Dominican Summer League, he broke out in 2024 by earning Florida Complex League All-Star honors and reaching Low-A Salem. He broke camp with High-A Greenville as an 18-year-old last spring, but was limited to just 10 starts (38 innings) in 2025 due to elbow soreness.
Valera entered 2026 ranked by Baseball America as the No. 4 pitching prospect in Boston’s farm system, behind lefties Payton Tolle and Connelly Early and righty Kyson Witherspoon. He briefly cracked the outlet’s top 100 prospects list at No. 100 thanks to his hot start, but has since dropped out of the rankings.
In addition to missing the remainder of the 2026 season, Valera will likely be sidelined for much of 2027 as well. That timeline is noteworthy, as he is set to become Rule 5-eligible for the first time that winter.
(Picture of Juan Valera: Gwinn Davis/Greenville Drive)