The England batsman Eoin Morgan will undergo surgery on his right shoulder which will keep him out of action for 12 weeks.
The batsman will miss the remainder of the series against India and will not be available for the forthcoming Twenty20 matches against the West Indies later this month. However, England hope he will be fit for England's series against Pakistan in the UAE.
"After seeing a specialist today it has been confirmed that Eoin will require surgery to his right shoulder with the likelihood of repairing a chronic SLAP lesion," said the ECB's chief medical officer Dr Nick Peirce. "We have managed the injury to date with a conservative program but Eoin has now reached the stage where surgery is most appropriate progression of his treatment.
"Following the operation Eoin will undertake a rehabilitation programme ruling him out of all cricket for approximately 12 weeks. The recovery period is anticipated to see him return to full fitness ahead of England's tour of the UAE commencing in January."
The batsman has become a key player for England, especially in the shorter form of the game, but his injury is described as "chronic" by the ECB. He first suffered the problem on his right shoulder on the Ashes tour last winter and has been managing it until now.
Recently, though, the problem flared up again when he suffered what the ECB called "acute" pain during the Twenty20 international against India, ruling him out of England's one-day game on Tuesday against India at the Rose Bowl.
Various high-profile cricketers have suffered SLAP lesions before including Shane Warne, Muttiah Muralitharan and Virender Sehwag.