It looks like Chris Capuano no longer has a choice.
The Brewers lefty, who chose rehab over surgery in late March, appears to be headed for the second Tommy John surgery of his career, according to several media reports.
Capuano, who experienced discomfort during throw drills in Phoenix on Monday, is schedule to meet with Dr. James Andrews in Birmingham, Ala., on Wednesday, according to the reports. The former All-Star could undergo surgery as soon as Thursday.
Capuano, who injured his elbow in an exhibition game, was diagnosed with a torn ulnar collateral ligament. He visited with Andrews in March and underwent an MRI. Andrews said he thought Capuano could rehab and recommended a program of strengthening followed by throwing.
Andrews performed Capuano's first elbow ligament replacement surgery in 2002, when he was pitching in Arizona's farm system.
Capuano, 29, won 18 games in 2005 and made the National League All-Star team in 2006. He bolted to a 5-0 record last season but lost his last 12 decisions and pitched in 18 consecutive losing games by the team before being moved to the bullpen.
Information from The Associated Press contributed to this report.