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Almost always. Unless there is evidence that strings have been breaking, even neglected pianos can usually be brought back. Sometimes this takes a series of tunings, but often just a normal pitch raise and tuning will suffice. Even if a few strings break it is not too difficult or expensive to replace them, and we usually recommend taking the risk. Clearly there are exceptions, and if we arrive to find that a piano simply cannot be tuned at A440 it can still be improved by tuning “to itself.”