The Future of Enhanced Recovery After Surgery in General Surgery: Integrating Artificial Intelligence, Personalized...

Enhanced Recovery After Surgery (ERAS) protocols have changed and improved surgical care and practice, transforming classic approaches toward more evidence-based practices. ERAS protocols demonstrate consistent benefits, including reduced hospital length of stay, decreased postoperative complications, and significant cost savings. Advances include the development and integration of AI and digital health technologies that promise to personalize and optimize recovery pathways. However, the global application of ERAS may face great challenges, starting with resource limitations, resistance to change, and variable compliance rates. This review discusses and highlights the application of ERAS, identifies barriers to implementation, and proposes evidence-based recommendations for optimizing ERAS adoption and sustainability in modern surgical practice.