Objective To investigate the status of the enhanced recovery after surgery（ERAS） in the department of Orthopaedics in hospitals in Luohe. Methods We conducted an investigation on application status of ERAS strategy in the department of orthopaedics in hospitals in Luohe. Results The items of ERAS which were not well implemented included the shortening the fasting time before anesthesia，cleaning skin before operation without shaving，unconventional utilization of tourniquet，keeping warm during operation，preemptive analgesia and multimodal analgesia，and actively preventing nausea and vomiting. Items that were implemented optimally included encouraging balloon blowing and other measures to improve cardiopulmonary function，prophylactic utilization of antibiotics before operation，prevention of thrombus after operation，not using utilization or removing the catheter 48 hours after operation，and early activity of getting out of bed. Conclusion The ERAS has not been fully implemented in the department of orthopaedics in hospitals of Luohe. Health professionals should implement it according to the characteristics of local patients so as to achieve the goals of promoting patients’ rehabilitation and improving medical efficiency.