Surgery isn't an immediate option for Albert Pujols' elbow, who is likely best off not having a procedure until complete reconstruction is needed, according to MLB.com. He has a "high grade" tear of the ulnar collateral ligament in his right elbow. "I think now our options are really likely down to two," Dr. George Paletta said. "If his elbow condition can't be successfully managed and gives him significant problems again, then I think the horse is out of the barn, and he should probably consider having the whole thing done."