Enhanced recovery after surgery had been introduced with success in many surgical 
fields, including bariatrics. There are numerous studies presenting how ERAS® has positively 
affected the outcomes following weight loss surgery. Methods: This is a prospective study that 
has been held in general Surgery department , Minia University Hospital on 20 patients managed 
with enhanced recovery protocol after bariatric surgery, between February 2019 and February 
2020. Informed consents from all patients have been taken before entering the study. Results: There 
is significant increase of age in cases with postoperative morbidity (P value 0.021). There is 
significant increase of length of hospital stay in cases with postoperative morbidity (P value 0.023).
Conclusion: Implementing ERAS did not reduce the percentage of patients discharged on 
postoperative day 1 in a bariatric surgery program with historically low length of stay, but it led to 
significant reductions in perioperative opioid use, decreases in postoperative nausea, and early 
emergency room visits.