De Fratus began the 2011 season with Double-A Reading, and was promoted to Triple-A Lehigh Valley on June 16 after much success in Reading. He recorded seven saves with Lehigh Valley, and was named the Phillies minor league player of the week in late August, before making his MLB debut with the Philadelphia Phillies on September 18, 2011, after joining the team as a September callup. During his debut, an opposing batter fouled a ball off, and De Fratus's brother caught the ball. Ultimately, it was a scoreless debut, and he went on to pitch four more big-league games that season. At the end of the season, Baseball America rated him the seventh-best prospect in the Phillies' minor league system. Before 2012, like in 2011, he was given an opportunity to open the season in the Phillies bullpen, but ended up injuring his shoulder, and missing much of the season. He called the injury a "beat down" both physically and mentally, but he returned and pitched with the big-league club in September. At the conclusion of the season, he was mentally exhausted and used golf to help "divert" his attention from baseball, playing over 50 rounds in the offseason; he credited golf with helping him overcome the mental exhaustion he faced after the season, and entered 2013 in a relaxed frame of mind.