Bryan Hoeing Weighing Elbow Surgery

Padres right-hander Bryan Hoeing may undergo some kind of elbow surgery. Kevin Acee of the San Diego Union-Tribune reports that the righty is rehabbing while he makes a decision about whether or not to go under the knife. Manager Craig Stammen tells Acee that the club expects the decision “relatively quickly.”

Just over a week ago, Hoeing was shut down due to some discomfort in his throwing elbow. Pitching coach Ruben Niebla seemed optimistic that it wouldn’t be a serious issue but perhaps new information has changed things.

Acee doesn’t specify exactly what kind of procedure is possible for Hoeing but most elbow surgeries require significant absences. On the extreme end, Tommy John surgery involves a recovery period of more than a year. Even something less serious like a procedure to remove bone spurs requires several months of recovery. Carlos Rodón underwent surgery for bone spurs in October and is targeting a return in April, a span of about six months.

There’s never a good time for a pitcher to have elbow surgery but right now would be particularly unfortunate for Hoeing. He seemed to have a breakout in 2024, posting a 2.18 earned run average in 53 2/3 innings, but he wasn’t able to build on that in 2025. A right shoulder strain put him on the shelf to start the year. He was activated off the IL in June but was mostly kept on optional assignment and struggled to get in a groove, posting a 4.70 ERA in Triple-A. He would be looking to bounce back in 2026 but surgery could get in the way of that.

Even if he can avoid surgery, Hoeing seems a lock to start the season on the IL. Even with him on the shelf, the bullpen competition looks tight. Acee writes that Kyle Hart is making a strong push for a spot. He has thrown 8 2/3 scoreless innings in spring training action thus far with seven strikeouts, allowing three hits and three walks while hitting one batter. He worked as a swingman last year but struggled, posting a 5.86 ERA in 43 innings.

Left-hander Yuki Matsui is a potential wild card, as he has been battling an adductor strain. Acee says Matsui has resumed defensive drills and throwing from a mound but is still questionable for Opening Day.

On paper, the Padres project to have eight bullpen spots taken by Mason Miller, Adrián Morejón, Jeremiah Estrada, David Morgan, Wandy Peralta, Bradgley Rodríguez, Ron Marinaccio and Matsui. Of those eight guys, Morejón, Peralta, Matsui and Marinaccio can’t be optioned. Of the four who can, Miller surely won’t be. Estrada and Morgan aren’t likely to be sent down either, given their strong results. Rodríguez is more plausible, since he has just seven big league appearances under his belt. Jason Adam is questionable for Opening Day. If he’s healthy, he would likely bump Rodríguez to the minors.

That would make it hard to squeeze in Hart, who does still have an option, unless Matsui starts the season on the IL. Things could also get tightened further when Matt Waldron returns. He is going to start the season on the IL but isn’t expected to miss too much time. He is out of options and would need to squeeze someone out or be squeezed himself, unless further injuries pop up.

Photo courtesy of David Frerker, Imagn Images