Road of recovery in gastrointestinal surgery: From ERAS to FRAS

Enhanced recovery after surgery (ERAS) starts mainly with colorectal surgery and has been shown to improve clinical outcomes and cost savings in almost all major surgical specialties during the implementation and development for more than two decades. On the basis of improving medical quality and perioperative safety strengthened by ERAS, we propose the concept of fastest recovery after surgery (FRAS) and bring it into clinical practice to achieve fastest recovery for patients undergoing elective major gastrointestinal surgery. In this article, we introduce the definition, superiorities, perioperative protocol, and future directions with regard to the practice of FRAS in gastrointestinal surgery.