Purpose of review <p>Breast cancer remains the most commonly diagnosed cancer in women. Despite advancements in diagnosis and treatment, significant disparities persist across racial and ethnic groups. Enhanced Recovery After Surgery (ERAS) protocols have been successfully implemented across various surgical subspecialties. This review explores the role of ERAS protocols in breast cancer surgery and its potential to reduce disparities by improving perioperative care, optimizing recovery, and standardizing treatment pathways.</p> Recent findings <p>ERAS protocols have been successfully implemented in various surgical specialties, demonstrating benefits such as reduced postoperative complications, opioid use, hospital length of stay, and improved pain management. More recently, ERAS has been incorporated into the National Accreditation Program for Breast Cancer (NAPBC) standards, highlighting its importance in breast cancer surgery. Studies suggest that ERAS can enhance surgical outcomes and help bridge disparities by providing standardized, evidence-based perioperative breast cancer care. However, research evaluating its impact on racial and ethnic disparities in breast cancer treatment remains limited.</p> Summary <p>ERAS has the potential to transform breast cancer surgery outcomes by minimizing disparities in postoperative complications, pain management, and recovery. While early data suggest its effectiveness, further research is needed to assess its long-term impact on racial and ethnic disparities. Future opportunities should focus on refining ERAS protocols to address patient-specific barriers, increasing institutional adaptation and support, and integrating ERAS into interdisciplinary care models.</p>