All-rounder Flintoff had his third ankle operation in June
Andrew Flintoff is unlikely to play for England until summer 2008 after having a fourth operation on the left ankle which has caused him so many problems.
The all-rounder has been ruled out of the Test series in Sri Lanka in December and will almost certainly miss the tour of New Zealand in early 2008.
Captain Michael Vaughan said: "He will be sick to death at missing more games.
"I just hope he can come back because he's great to play with. This might be the mental freshener he needs."
The new operation comes just four months after the previous surgery, which has failed to produce the required results.
Flintoff travelled to the Netherlands for Friday's operation, where he went under the knife of Professor Niek van Dijk, one of the world's leading authorities on arthroscopic ankle surgery.
Since having his first operation in early 2005, he has struggled for an injury-free run in either the Test or one-day side and has missed 11 out of the last 16 Tests.
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