Surgery is definitely not a first choice, but if after 6-12 months of rest and therapies / treatments the symptoms have not disappeared, surgery should be considered Several techniques are available that have a high probability of improvement of the complaints. A well-known technique is to release the tendon (in part), to remove the damaged and inflamed tissue and to attach to the tendon again. This operation is performed through a small incision or via a keyhole surgery technique. Another possibility is to interrupt the connection between the muscle to the painful tendon attachment. The muscles may be used as before, but there is no more painful voltage transmitted to the elbow. The choice between the various techniques will be discussed with you by the orthopedist. A complete recovery can take 6 months or longer.