July 13: The Mets announced today that Smith underwent right elbow UCL reconstruction with internal brace augmentation yesterday. That leaves him set to miss not only the remainder of the 2024 season, but could also cost him the entire 2025 campaign as well.
July 8: Mets reliever Drew Smith will undergo season-ending elbow surgery on Friday, he tells Tim Healey of Newsday. The righty is still unsure whether he’ll need a complete Tommy John surgery or the slightly less significant internal brace procedure. It’s not uncommon for the surgeon to make that decision during the operation based on the extent of the ligament damage.
Smith landed on the injured list with an elbow sprain a few weeks ago. He admitted in late June that an initial evaluation determined that surgery was likely necessary. Smith went for a second opinion thereafter but evidently will not be able to avoid going under the knife. Even in the best case scenario where he “only” needs the internal brace procedure, he’s likely to miss around a calendar year. A full UCL reconstruction could cost him the entire 2025 season.
Smith has spent his whole major league career with the Mets. Initially drafted by the Rays in 2015, he was dealt to New York as a prospect for first baseman Lucas Duda. Smith made his MLB debut the following year. He pitched in 27 games as a rookie before undergoing Tommy John surgery that wiped out his 2019 campaign and limited him during the shortened year.
Over the past three and a half seasons, Smith has been a solid contributor in the middle to later innings. He turned in a 2.40 ERA through 41 1/3 innings in 2021. His ERA ticked up over the next couple seasons, but he missed more bats and logged a few more innings along the way. The 30-year-old righty had been out to a strong start this season, posting a 3.06 ERA with a 29.1% strikeout rate (narrowly the highest of his career) across 17 2/3 frames.
Smith is an impending free agent, so this could represent a tough end to his stint in Queens. It’s a particularly unfortunate time for what’ll be the second significant elbow procedure of his career. Smith’s early-season performance looked as if it’d position him for a strong two-year deal. The surgery could limit him to a slightly backloaded two-year offer at a much lower base salary, especially if he’ll need to miss all of next season.