The Japan international has played just once this term, coming off the bench against Southampton last October after returning from a long-term knee injury.
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The Gunners star missed the start of the season as a result of an operation and could now go under the knife again after persistent problems with the same knee.
Arsenal doctors are considering sending Tomiyasu for another surgery, which would require a lengthy rehabilitation programme and rule him out for a significant period of time.
He had an operation on the knee last year, spending three months out of action, and he could miss the rest of 2024-25 if a second operation takes place.
The 26-year-old played 30 games across all competitions last year and was involved in 31 games in 2022-23.
The former Bologna star has been unavailable for 580 days due to injuries since joining Arsenal, with calf and knee problems preventing him from being regularly available.
Arsenal manager Mikel Arteta has enjoyed the versatility of Tomiyasu as he is one of the few defenders who can play in every of the four positions at the back, but the Spaniard will not be able to call upon him this season from the look of things.
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