JAMA Surgery has reported that the ERAS Society and ERAS Cardiac Society Guidelines were the highest viewed paper in 2019 in the journal. JAMA Surgery is the first surgical journal to reach double digits in impact factor with 10.7 and is now the worlds highest ranking surgical journal! The views exceeded 103,000 with the second scoring paper at around 31,000. We congratulate Dan Engelamn and the entire team behind this milestone achievement reflecting the impact and importance of ERAS as it is moving across different specialties.