Background: Surgical advancements have led to the development of Enhanced Recovery After Surgery (ERAS) guidelines. This study aims to assess the nurse’s role in improving patient outcomes and healthcare efficiency using ERAS. Methodology: This cross-sectional study was conducted in Aster Sanad Hospital Riyadh, Saudi Arabia. Data were collected using a self-administered questionnaire and from electronic medical records. The study sample was given a self-administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS), version 21 (IBM SPSS Statistics, Armonk, NY) to analyze the data. Result: The result shows that there is a significant level of confidence among a notable portion of respondents regarding their understanding of ERAS protocols, there are also areas of uncertainty and variability, indicating the need for targeted interventions to enhance comprehension and implementation. Moreover, there is widespread acknowledgement of the pivotal role of nurses in ERAS implementation, yet significant proportions express reservations about nurses' training, workload constraints, and support from healthcare institutions. Conclusion: Overall, these findings emphasize the multifaceted nature of ERAS implementation, requiring a comprehensive approach that addresses training, communication, workload, and resource allocation to optimize patient outcomes and healthcare efficiency in Cesarean surgery units at Aster Sanad Hospital.