This document discusses enhanced recovery after surgery (ERAS) protocols for patients undergoing radical cystectomy surgery. It provides background on ERAS, noting it is a multimodal perioperative care approach designed to improve recovery. ERAS was first described in 1990 and studies have shown it can reduce complications by 50% and lower hospital stay by 2.5 days in colorectal surgery patients. The document outlines the key components of ERAS for radical cystectomy, including preoperative optimization, minimally invasive surgery techniques, early enteral feeding and mobilization, and avoidance of nasogastric tubes and intense bowel preparation. ERAS has been shown to accelerate recovery and reduce hospital stay for cystectomy patients.