Aim of Study: To evaluate the impact of Enhanced Recovery after Surgery (ERAS) protocols combined with optimized anesthetic management on postoperative outcomes in patients undergoing benign gynecologic surgeries.Study Duration: January 2023 to March 2024.Study Place: District Headquarters Hospital (DHQ), Gujranwala&Rai Foundation Teaching Hospital Sargodha Pakistan.Study Type: Retrospective cohort study.Methodology: Data from 200 patients (100 ERAS, 100 traditional care) undergoing hysterectomy or myomectomy were analyzed. Variables included hospital stay, complications, pain scores, and readmissions. Statistical analysis was performed using SPSS v26.Results: ERAS patients had shorter hospital stays (2.1 ± 0.8 vs. 4.5 ± 1.2 days; *p* < 0.001), lower complication rates (12% vs. 28%; *p* = 0.003), and reduced pain scores at 24 hours (3.2 ± 1.1 vs. 5.8 ± 1.4; *p* < 0.001).Discussion: ERAS protocols significantly improved recovery metrics, likely due to multimodal analgesia and early mobilization.Conclusion: Implementing ERAS with tailored anesthesia enhances postoperative outcomes in benign gynecologic surgeries.