Following the April home series against the Texas Rangers, Trout was named AL Player of the Week for the fourth time in his career.[146] Trout went on to make his 8th straight All-Star Game. During the game, he honored his late teammate and friend Tyler Skaggs by wearing his number 45.[147][148] Trout surpassed Barry Bonds to become the youngest player to join the 200 home run, 200 stolen base club when he stole his 200th career base on August 31.[149]
On September 9, Trout underwent a cryoablation procedure to address a neuroma in his right foot.[150] On September 15, it was announced that Trout would undergo full-fledged surgery to remove the neuroma, ending his 2019 season.[151] He finished the season with a career-high 45 home runs and led the American League in on-base percentage and slugging percentage.
On October 24, 2019, he won the AL Hank Aaron Award.[152] Trout was also named the AL MVP for his third time in his career.[153] With his latest win, Trout joined teammate Albert Pujols as the only active MLB players to have three MVP awards.