After Miami Marlins young ace Jose Fernandez pitched for the last time this season May 9, it was not a surprise when the team learned he needed Tommy John surgery. The surgery, which repairs the ligament that runs along the inside of the forearm from the elbow, has been everywhere you look this season. Since spring training, 20 Tommy John surgeries have been performed on major league pitchers, noted orthopedic surgeon Dr. James Andrews said, including 14 by the third week of April.