Dean Ambrose underwent successful surgery Tuesday night to repair a high-grade triceps tendon injury according to WWE.com.

The surgery was performed by Dr. Jeffrey Dugas at Andrews Sports Medicine & Orthopaedic Center in Birmingham, Alabama, and Ambrose was under the knife for around 40 minutes.

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“He tore some of the distal triceps tendon where it attaches to the forearm bone, called the olecranon,” Dr. Dugas told WWE.com. “He basically tore about 50 percent of the triceps tendon away from the bone. So yesterday we repaired that back down to the bone where it tore off of. The surgery was very straightforward; we removed all of the extra bursal tissue – all of that extra swollen stuff around his elbow.”

The former WWE champion has already started physical therapy and will leave Birmingham today. It’s still not determined how long Ambrose will be out for.