ERAS items not updated in 2019 guideline (no change in recommendation/evidence)
| ERAS item | Recommendation |
| Pre-operative optimization4 | Smoking and alcohol consumption (alcohol abusers) should be stopped 4 weeks before surgery |
| Smoking—Evidence level: high; Recommendation: strong | |
| Alcohol—Evidence level: moderate; Recommendation: strong | |
| Anemia should be actively identified, investigated, and corrected pre-operatively | |
| Evidence level: high; Recommendation: strong | |
| Pre-anesthetic medication4 | Routine administration of sedatives to reduce anxiety pre-operatively should be avoided |
| Evidence level: low; Recommendation: strong | |
| Nausea and vomiting prophylaxis4 | A multimodal approach to post-operative nausea and vomiting with >2 antiemetic agents should be used for patients undergoing gynecologic procedures |
| Evidence level: moderate; Recommendation: strong | |
| Urinary drainage5 | Urinary catheters should be used for post-operative bladder drainage for a short period preferably <24 hours post-op |
| Evidence level: low; Recommendation: strong | |
| Early mobilization5 | Patients should be encouraged to mobilize within 24 hours of surgery |
| Evidence level: low; Recommendation: strong |
ERAS, Enhanced Recovery After Surgery.