At a recent state wide quality meeting, I was introduced to the concept of ERAS, or enhanced recovery after surgery. ERAS is not a new concept, however, it is just starting to make its way into the cardiac surgery community. The concept of ERAS was developed by a study group of surgeons in Europe in 2001. The focus of this group was the quality, rather than the speed, of recovery after surgery. This group developed a model which stressed several key points: a multi-faceted approach to deal with delays in recovery and perioperative complications, an evidence-based approach to care protocols, and the use of frequent, interactive audit of these processes.