This is mandatory, not optional.

ACL evidence supports including psychological PROs with muscle-function testing before RTS. Lower psychological readiness is associated with worse outcomes and possibly greater reinjury exposure. 

I would want:
• Athlete reports high trust in the knee during:
• cutting
• landing
• contact
• speed
• fatigue
• No obvious guarding
• No avoidance of the surgical side
• Good score on a psychological readiness measure such as ACL-RSI
• Good knee-related quality of life, not just “I can play if I have to”

For meniscus athletes, the same principle applies even though the ACL-RSI is ACL-specific: confidence, symptom trust, and willingness to load/rotate matter.