The concept of "enhanced recovery" or "fast track" surgery was borne out of several prospective studies in the gastrointestinal surgery literature, and has been shown in multiple types of operations and across specialties to be beneficial for patients as well as economically advantageous [Anderson, Bonde, Adamina]. The concept of using an integrative, multimodal, multidisciplinary approach for minimizing the physiologic stress response in attempt to improve recovery after surgery was first described in 1997 [Kehlet]. Throughout the past several years there has been increasing focus on applying such principles to breast surgery, though to date the literature has focused on operations primarily performed for breast cancer, including mastectomy and breast reconstruction [Arsalani, Bonde]. The goal of "enhanced recovery after surgery" (or "ERAS") protocols is to identify and employ a set of pre-, peri- and postoperative strategies to improve patient outcomes and the recovery process after surgery. Such interventions have the goal of minimizing perioperative physiologic stressors (e.g. pain, fatigue, anxiety, nausea and vomiting) that can lead to morbidity. Categories related to "enhanced recovery after breast surgery" (ERABS) include standardized preadmission counseling, preoperative fasting, preanesthetic anxiolytics, anesthetic protocols, intraoperative warming, pain control, prevention of nausea and vomiting, mobilization, and postdischarge support [Arsalani].