On the 18th August 2020, a Memorandum of Understanding between the ERAS Society and the First University Hospital of Lanzhou China was signed. Prof Li, president of the First University Hospital of Lanzhou signed, along with Prof Olle Ljungqvist and Prof Nicolas Demartines from the ERAS Society. The agreement proceeds the formal implementation of an HPB ERAS program in Lanzhou. This will be the first Chinese ERAS affiliated hospital!