While there is no question that operative technique is important in achieving good patient outcomes, increasing evidence suggests that a coordinated and systematic approach to pre-operative patient preparation, intra-operative management, and post-operative care may be an even more critical contributor. Collectively, this approach has come to be known as “Enhanced Recovery After Surgery,” or ERAS, and represents a multidisciplinary approach to patient selection, pre-operative nutri­tion and optimization, intra-operative uid management, advanced pain control, and early diet and mobilization. Originated and best studied in colorectal surgery, ERAS protocols have been shown to reduce length of stay [1], reduce the rates of post­operative complications by up to 40% [2], and signicantly reduce costs [3]. In fact, by one estimate, every dollar spent in implementation of ERAS protocols results in a $3.8 savings [4]. ERAS protocols are now being adapted and extended to other types of surgery including bariatric [5], hepatobiliary [6], gynecologic [7], and recently to hernia surgery [8–10].