ERAS, the Enhanced Recovery After Surgery (ERAS+) program, is a comprehensive tool designed to aid individuals in preparing for and recuperating from major surgical procedures efficiently. Launched in 2014, ERAS+ focuses on enhancing recovery outcomes by emphasizing cardiovascular activity, muscle strengthening, nutritional support, and lifestyle guidance over a minimum three-month period.

Developed by medical experts, ERAS+ incorporates a respiratory bundle known as ICOUGH to reduce postoperative pulmonary complications (PPCs) and partners with patients and their families to ensure a successful recovery journey. With over 250,000 patients undergoing major surgery annually in England and Wales, ERAS+ aims to reduce PPC rates by 50% and decrease hospital stay by an average of 3 days, leading to substantial cost savings and improved patient outcomes.