Background: Enhanced recovery after surgery (ERAS) programs have been developed to improve patient outcomes, hasten recovery after surgery, and lessen healthcare costs. ERAS programs are a multimodal approach, with interventions during all stages of care. Aim: Evaluate the effect of enhancement recovery after traumatic surgery program implementation on nurses' performance and outcomes of patients. Design: A quasi-experimental design (control & study group) for the studied patients and (pre-posttest) for the studied nurses was utilized to meet the aim of the study. Setting: This study was conducted in the emergency department, general surgery operating theater and surgical ICU affiliated to El-Demerdash Hospital affiliated to Ain Shams University, Cairo. Egypt. Subjects: A convenient sample of all available nurses (68) will be recruited in the present study from the above-mentioned setting; (21 nurse from emergency department, 19 from the operating theatre and 28 from the surgical intensive care unit).  Also, A purposive sample of 40 patients from the previous mentioned setting. Tools: Tool I- Nurses' designed assessment questionnaire, Tool II- Nurses' Observational checklist & Tool III- Patients' outcomes assessment tool. Results:  showed that there was an obvious statistically significant improvement in the studied nurses' satisfactory level in the three different settings post program implementation, in addition to there was statistically significant improvement in patients' outcomes in the study group rather than the control group at p˂0.05. Conclusion: In view of the findings, enhancement recovery after traumatic surgery program implementation resulted in significant improvement in nurses' knowledge and practical level in the different study setting. Furthermore, there was positive statistically significance difference between the control and study group of patient's outcomes except for mortality rate. Recommendations: Availability of nursing interventional booklet regard enhancement after traumatic surgery is essential.