I posted here several months ago re my tennis elbow and got some good advice but now need an opinion on whether to get surgery. Had TE for nearly 2 years now - not held a racquet since then. Had 4 or 5 cortisone shots - first ones were OK - lasted for 6-8 weeks, then pain always came back again. The latest ones have been less effective. (Even had one under ultrasound - to guide it to the correct spot). Had MRI scan - showed some damage/fraying - but not too extensive. Been doing exercises such as simple stretches and rubber band-type resistance exercises - but these have NEVER been pain-free. At its worst (a year ago or so), the TE pain was pretty intense - but its settled at about 30-40% of that now - ie I can do most things OK with my hand with some discomfort (but definitely not tennis or weights etc...). There does not seem any improvement from this no matter whether I rest, or exercise or ice etc... My physio put me on some gentle weights recently but I had a flare up after a couple of days of doing these - back to maybe 70% of worst pain. 2 weeks after resting it's back down to my 30 - 40% threshold of pain again. I feel that I've tried everything - complete rest, gentle stretches and more aggressive exercise (as well as cortisone shots) - but 2 years on am COMPLETELY FED UP WITH THIS AFFLICTION. What are the chances of surgery helping? What's the recovery time (with therapy)? Should I grit my teeth and carry on with exercises? (Consultant is against surgery if possible). I'm getting to a stage where I'm getting really depressed about this.