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Orthopedic · DoDI 6130.03 §5.18

Can you join the military with ACL tear / prior orthopedic surgery?

Lower-extremity conditions: chronic instability, deformity, or pain that interferes with running or weight-bearing is disqualifying. USMEPCOM 28-list flags ACL rupture in the past 12 months as unlikely-to-waive. Post-surgical repair ≥12 months with full ROM and surgeon clearance is the typical waiver path.

Depends on specificsWaiver: Routinely approvedOn USMEPCOM pre-screen — narrow path

What the recruiter says vs. what's true

The myth you'll hear
A scope doesn't count, that's nothing.
The truth
Any major reconstruction is in scope of §5.18. The waiver depends on demonstrated full functional recovery, not the severity of the original injury.

Documentation you'll need

  • Surgical operative report
  • Post-op imaging (MRI showing intact repair)
  • Orthopedic surgeon clearance letter
  • Functional testing — ability to run, squat, jump without restriction

Quick answers

Is ACL tear / prior orthopedic surgery disqualifying for military service?
Depends on specifics. Lower-extremity conditions: chronic instability, deformity, or pain that interferes with running or weight-bearing is disqualifying. USMEPCOM 28-list flags ACL rupture in the past 12 months as unlikely-to-waive. Post-surgical repair ≥12 months with full ROM and surgeon clearance is the typical waiver path. (Source: DoDI 6130.03 Vol 1, §5.18.)
Can you get a waiver for ACL tear / prior orthopedic surgery?
Routinely approved. DoD does not publish waiver-approval rates — any specific percentage you read online is anecdote. Note: this condition is on the 2024 USMEPCOM 28-condition automated pre-screen, meaning applications are routed for disposition before MEPS and the waiver path is statistically narrow.
What documentation do you need for a ACL tear / prior orthopedic surgery waiver?
Surgical operative report; Post-op imaging (MRI showing intact repair); Orthopedic surgeon clearance letter; Functional testing — ability to run, squat, jump without restriction.
Sources
Last verified 2026-05-24. This page surfaces the regulation — it is not medical or legal advice, and it does not replace a MEPS physician. Never conceal a diagnosis: MHS Genesis pulls civilian records, and concealment is fraudulent enlistment under UCMJ Article 83.
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Published by the Honest MOS Editorial DeskVerified against DoD/.gov sourcesUpdated May 2026Editorial standards