Background: Enhanced recovery after surgery By combining various evidence-based perioperative care components, ERAS aims to expedite patient recovery. It standardizes perioperative management and produces a consistent improvement in the quality of care. The aim of the research was to investigate the effects of better recovery after CS on patient satisfaction, pain management, length of hospital stay, rate of complications, and rate of hospital readmission.

Methods: This randomized controlled clinical trial was conducted at Obstetrics and Gynecology department, Zagazig University Hospitals, included 90 patients who were divided into two groups: Active (ERCS) Group were subjected to our enhanced recovery program after surgery for CS regarding specific preoperative, intra operative and post operative measures (ERCS) (ERCS PG breech subgroup and ERCS previous 1 CS subgroup) and Control Group were subjected to the routine measures of any case of cesarean section regarding admission to hospital, preoperative, intra operative and postoperative routine measures (Control PG breech subgroup and control previous 1 CS subgroup).

Results: There was statistically significant difference between the studied groups as regard length of hospital stay, pain management, patient satisfaction, complication rate and readmission.

Conclusion: The integration of ERAS protocols into cesarean section surgery represents a substantial advancement in obstetric care. By significantly reducing hospital stays, optimizing pain management, and decreasing complication rates without increasing readmissions, ERAS enhances the overall recovery experience for patients. Continued research and refinement of these protocols will ensure their effectiveness and promote the adoption of best practices in cesarean section surgery care.