Hello, The various types and extent of ligament injury present in vivid clinical perspectives. The mild to moderate amount of ligament insult do heal over a period of time with conservative measures. Those are the surgical candidates in whom: - No response to conservative measures - Concern with more precision of anatomy reconstruction and alignment - Severe extent of anatomic disturbances from the day of injury - Inadequate results from current therapy However, an adequate trial of anti inflammatory medications with assisted physiotherapy with expert physiotherapist are must before concluding surgical decision. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon