The Evolution of Enhanced Recovery After Surgery (ERAS) in Gynecology

Enhanced Recovery After Surgery (ERAS) represents a paradigm shift in perioperative care, emphasizing evidence-based, multimodal strategies to minimize surgical stress and accelerate recovery. Originating in colorectal surgery in the 1990s, ERAS principles have since permeated gynecologic practice, transforming care across benign, oncologic, and urogynecologic procedures. Subspecialty adaptations, including those for minimally invasive surgery, pediatric gynecology, and pelvic floor reconstruction, illustrate the flexibility of ERAS across clinical contexts. By embracing data-driven implementation and interdisciplinary collaboration, ERAS continues to redefine perioperative care in gynecology, delivering measurable improvements in patient recovery and surgical value.