 Hello, I'm Dr. Parsons, and I'm excited to talk with you today about enhanced recovery after surgery, or ERAS for short. ERAS is an approach to care with specific steps for eating, moving, and controlling pain before and after surgery. Our experience at Kaiser Permanente is that patients have fewer complications with this care. ERAS supports faster recovery by reducing surgical stress on the body. Patients who follow ERAS guidelines often have less pain and fewer complications, including infections and pneumonia. ERAS can help you heal more quickly, eat and move sooner, control pain better, and help you to return home earlier. If you've had surgery in the past, you'll notice a few differences this time. First, we don't want you to be hungry. You'll be asked to drink a carbohydrate drink like Gatorade or Apple Juice before your surgery. This will give you the energy you need for your surgery and will help you to recover faster. Unless otherwise directed by your health care team, we no longer want you to fast overnight. You can now eat up to eight hours and drink clear liquids up to two hours before you arrive at the hospital. Please follow the eating and drinking guidelines provided to you by your health care team. After surgery, we'll help manage your pain with a variety of medications all aimed at helping decrease your need for opioid medications. This reduces your risk of falling and decreases side effects like confusion, nausea, and constipation. Soon after surgery, you'll have a light meal which will provide you with the nutrition you need to start healing. We'll help you get out of bed and begin to move shortly after surgery. Moving helps prevent blood clots, constipation, and pneumonia. Before surgery, your care team will give you other instructions to help reduce your chance of infection, like quitting smoking and using a special soap or wipes to clean your skin. They'll also tell you more about ERAS and give you a calendar to follow. We'll do everything we can to make your ERAS experience positive, so you'll heal more quickly and you'll go home soon.