Background: caesarean sections (CS) performed every year are increasing in number 
dramatically all over the world & represent loads on hospitals & medical centers. So, it 
became very important to give more attention for implementation of enhanced recovery after 
CS. Aim of the work: To investigate the effect of enhanced recovery after elective CS on the 
length of hospital stay, pain management, patient satisfaction, complication rate and return to 
hospital rate. Patients and Methods: This comparative study was conducted at Minia 
Maternity University hospital, it was carried out during the period from July 2018 to June 
2019 during which about 400 patients under going elective CS were included ......and divided 
into two groups: The first group (the active group) was subjected to our enhanced recovery 
program after surgery for elective CS regarding specific preoperative, intra operative and 
postoperative measures (ERCS) ……. The second group (the control group) was subjected to 
the routine measures of any elective case of cesarean section regarding admission to hospital,
preoperative, intraoperative and postoperative routine measures. Results: all the results of 
implementation of enhanced recovery program on the active group had significant differences 
than it in the control group with a (p<0.001). Conclusion: Implementation of ERAS protocols 
in surgery for CS is a promising technique. Implementation of ERAS resulted in significant 
reduction in hospital stay, proper pain management and reduced rate of complications without 
an increase in re-admissions.