The Blue Jays have lost another starter. The AP reports that Jesse Litsch will undergo Tommy John surgery on his pitching elbow. Blue Jays starter Shaun Marcum is coming back from the same surgery while Dustin McGowan is recovering from shoulder surgery. Litsch hit the DL with forearm tightness after two April starts, but was expected back this month.Last year the 24-year-old pitched to an ERA of 3.58 in 176 innings. So far in 2009 the Jays have pitched well behind Roy Halladay, as Brian Tallet, Scott Richmond, Ricky Romero, Casey Janssen and others have impressed.