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Highly Ranked Red Sox Prospect Will Undergo Season Ending Surgery

Boston Red Sox top pitching prospect Luis Perales will undergo Tommy John surgery next week, Chris Cotillo of MassLive.com reports. The young right-hander will also miss the remainder of the season and likely much of 2025. Perales impressed the Red Sox enough to get a 40-man roster spot in November. 

Perales is ranked as Boston’s ninth-best prospect by MLB Pipeline.

Luis Perales to Undergo Tommy John Surgery

Perales had to leave a start at Double-A Portland earlier this month with an elbow injury. The 21-year-old went for subsequent testing, which revealed the bad news. It was just Perales’ second-ever start with Portland. He began the year at High-A Greenville, pitching to a 3.42 ERA in seven starts.

Perales took a step forward last year, splitting his time between the Complex League and Single-A. He tossed 89 2/3 innings over 21 starts with a 3.91 ERA and 29.3 percent strikeout rate. His 12.7 percent walk rate was on the high side, which is fair for a developing pitcher who missed time due to injuries. Things went well for Perales in 2024, thanks to his strong performance at High-A. He had struck out 38.9 percent of batters while dropping his walk rate to 8.3 percent, leading to a 2.84 ERA.

Pearles Was Moving Along Nicely

It’s always frustrating when a prospect like Pearles requires Tommy John surgery. It’s even more difficult for Perales, who has missed so much time but was on a good track over the last year. Since he was added to the 40-man roster, he’s in the first of his three option years. He will have one option year left by the end of 2025. However, teams are often granted a fourth option when a player misses significant time due to injury.

Main Photo: Eric Canha-USA TODAY Sports

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