In recent years, heart valve surgeries have seen significant advancements, resulting in low rates of postoperative mortality and morbidity, along with excellent durability of outcomes and improved survival probabilities. However, these surgeries can still impact patients' quality of life and functional capacity, particularly during the initial postoperative phase.

To address these challenges, the Enhanced Recovery After Surgery (ERAS) approach has been developed to enhance surgical outcomes, improve the experiences of both patients and healthcare providers, and reduce costs. Originally established in the fields of oncology, breast, and thoracic surgery, ERAS has now been adapted for cardiac surgery, incorporating the first dedicated guidelines and consensus statements.

The strength of the ERAS approach lies in its focus on achieving marginal gains that accumulate to create meaningful improvements in surgical results and patient satisfaction. Over the past eight years, a multidisciplinary strategy has been implemented in the realm of minimally invasive cardiac surgery. This has led to a growing recognition and adoption of several key practices throughout the preoperative, intraoperative, and postoperative phases of the surgical journey, ultimately enhancing patient recovery and overall outcomes.