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Objective To evaluate the effects of enhanced recovery after surgery (ERAS) for thyroid surgery throughout the perioperative period. Methods A total of 120 cases with thyroid surgery in our hospital from March to June 2018 were divided into ERAS group and traditional group with 60 cases each. Pain scores after surgery, postoperative complications, length of hospital stay and costs were compared between two groups. Results The pain scores (2.2 vs. 2.8), length of hospital stay (1.0 d vs. 3.4 d) and costs (10 204.8 Yuan vs. 12 449.2 Yuan) in ERAS group were less than those in traditional group (P<0.001). There was no statistical difference in postoperative complications rate between two groups. Conclusions It could be found that ERAS helped to decrease length of hospital stay and reduce cost while improve postoperative pain control.