This is according to Rio Ferdinand believes Manchester United would benefit from heeding the straightforward advice of one of their former managers.

Ralf Rangnick’s parting words as Manchester United’s interim manager resonate even more strongly today. As he handed over the reins after stepping in for Ole Gunnar Solskjaer, Rangnick famously remarked that the club required “open-heart surgery” to address its deep-rooted issues.
During his final press conference, he was unflinchingly honest about the state of the team. “You don’t even need glasses to see where the problems are,” he said. “It’s not enough to make minor adjustments—cosmetic changes won’t work. This is an open-heart operation. If everyone recognizes this and works together, it doesn’t have to take years to fix. It could happen within one year.”
Months later, Rangnick revisited this assertion, reaffirming the accuracy of his diagnosis. Despite Erik ten Hag’s appointment, significant financial investments, and structural changes initiated by Jim Ratcliffe, the results on the pitch tell a different story. Manchester United still struggles to find consistency, leaving many to wonder if the surgery Rangnick envisioned has truly been completed.
The situation came into sharp focus after a 2-0 defeat to Newcastle in the Premier League, following similarly lackluster performances against Bournemouth and Wolves. This led club legend Rio Ferdinand to reflect on Rangnick’s warning. Describing United’s display as a “disgrace,” Ferdinand pointed to the team’s lack of defensive cohesion, saying it was far too easy for Newcastle to exploit gaps with minimal effort.
Ferdinand drew a direct link to Rangnick’s earlier assessment. “Rangnick said this club needed open-heart surgery, not quick fixes. And he wasn’t wrong. How true are those words proving to be now? Behind the scenes, I’m sure Ruben Amorim is thinking the same thing. He might not have used the term ‘open-heart surgery,’ but his acknowledgment that the club needs a shock is essentially echoing Rangnick’s sentiments.”
The enduring truth of Rangnick’s statement serves as a stark reminder of the challenges facing Manchester United, even with new leadership and resources at their disposal.