The Associated Press contributed to this report. Braves pitchers Kris Medlen and Brandon Beachy received the news they were expecting when they visited Dr. James Andrews at his Pensacola, Fla., office on Monday. As Medlen and Beachy spent Monday waiting for Dr. Andrews to confirm what had seemingly become inevitable last week, the Braves were in the process of evaluating why so many of their pitchers have recently undergone Tommy John surgery. Beachy's ulnar collateral ligament was reconstructed by Dr. James Andrews on June 21, 2012, and Beachy returned to go 2-1 with a 4.50 ERA in 30 innings over five starts from July 29 to Aug. 20 last summer. Beachy was examined Monday by Andrews, who recommended surgery, and the 27-year-old sought a second opinion. Medlen's timetable for recovery might be longer because this was the second time Andrews had to perform the surgery, which replaces the elbow's ulnar collateral ligament with a tendon. Adding to the bad news: starting pitcher Anibal Sanchez was scratched from his start because of shoulder inflammation. After spending more than a week knowing it was inevitable, Braves Kris Medlen spent a portion of Tuesday afternoon undergoing Tommy John elbow reconstruction surgery for the second time in less than four years. "I think we're always evaluating and looking at how we do things and why we do them and do we need to make changes," Braves general manager Frank Wren said. "That's an ongoing process.