Denmark’s Kehle first put forward the “accelerated rehabilitation technology” (fast-track-surgery, or fatrack-rehabilitation) this concept. Its content includes: preoperative and postoperative patient education; the use of non-invasive or minimally invasive surgical methods to reduce surgical trauma; in order to maintain normal blood volume, to prevent hypoxia and hypothermia under the conditions of the selection of appropriate anesthesia; in the absence of systemic use of large doses of opioid analgesics under the circumstances of the use of effective analgesic treatment; to encourage early postoperative activities; early postoperative feeding; postoperative as far as possible to avoid placement of gastrointestinal decompression tubes, urinary catheter, or drainage tube, etc. or remove the tube as early as possible; remove the tracheal tube as early as possible after the operation. At present, accelerated rehabilitation therapy technology has been widely used in the fields of general surgery, intestinal surgery, vascular surgery, thoracic surgery, urology and obstetrics and gynecology. Pre-operative patient education emphasizes the detailed introduction of the hospital environment, disease and treatment to the patient before surgery, eliminating the patient’s unfamiliarity and fear of the hospital and treatment, and so on. In our clinic, we often encounter some patients who are admitted to the hospital for total hysterectomy due to uterine fibroids. They are relatively lacking in medical knowledge and think that after the removal of the uterus, there will be no female hormone secretion and they cannot have sex. They are worried that their normal life will be affected. Therefore. Very fearful of the operation. In the preoperative period, doctors should communicate with patients in a timely manner, tell them the function of reproductive organs, the degree of impact of hysterectomy on sexual life; for some patients, we also combined with their psychological needs and conditions and changed the surgical method to fibroid excision, and at the same time informed that there is a possibility of postoperative recurrence, and to strengthen the follow-up. We found that such communication can significantly relieve patients’ preoperative anxiety, keep them in a positive state of mind after surgery, and promote their recovery. Surgery will inevitably cause a certain degree of trauma to the patient, stimulating the organism to undergo a stress response. One of the main elements of accelerated rehabilitation treatment technology is to advocate minimally invasive surgery. Minimally invasive surgery is the direction of the development of gynecological surgery in the 2l century, and its core is to reduce surgical trauma and its resulting stress response. Minimally invasive gynecological surgery mainly includes: high-frequency electric wave knife (LEEP) on the cervix, vagina, vulva lesion treatment; laparoscopy on the pelvic and abdominal disease diagnosis and treatment; hysteroscopy on the uterine cavity disease diagnosis and treatment; transvaginal surgery and so on. At present, in developed countries, about 90% of gynecological surgery through endoscopic technology in a minimally invasive environment. In China, the popularity of minimally invasive gynecological surgery has also greatly increased, with many local county and municipal hospitals carrying out minimally invasive gynecological surgery. Studies have found that minimally invasive gynecologic surgery has the advantages of less trauma, less pain, faster recovery and better efficacy.Sarmini et al. compared the surgical and postoperative conditions of 220 laparoscopic hysterectomies (or uterus and double adnexa) and 220 transabdominal hysterectomies (or uterus and double adnexa) and found that compared with the transabdominal surgery, the surgical time and the number of days of hospitalization of the patients who had undergone laparoscopic surgery were significantly reduced, and the return to work time was significantly shorter, and the number of days of hospitalization was significantly reduced. The duration of surgery and hospitalization days were found to be significantly reduced, return-to-work time was significantly shorter, and the incidence of surgical and postoperative complications was significantly reduced compared with transabdominal surgery. Selection of appropriate anesthesia and analgesic techniques in the perioperative period is a strong guarantee for successful surgery. With the promotion of accelerated recovery therapy techniques, there is a new understanding of preanesthetic preparation, choice of anesthesia modality, and application of anesthesia and analgesic drugs. It has been more than 150 years since food and water intake were routinely prohibited for the whole night before elective surgery, and it was thought that this could ensure gastric emptying before anesthesia in order to avoid aspiration during anesthesia and surgery. In recent years, some national anesthesia societies have recommended that the majority of patients undergoing elective surgery should be exempted from preoperative overnight fasting, and instead be exempted from solid food for 6 h and fluids for 2 h prior to surgery. Studies have found that . The measure of oral carbohydrate drinks 2h before anesthesia and surgery is not only safe, but also improves the patient’s preoperative thirst and other discomforts, as well as significantly reduces insulin resistance caused by surgical trauma, thus facilitating their postoperative recovery. In the past, the field of obstetrics and gynecology in open surgery is more often used epidural anesthesia, while in laparoscopic surgery most of the choice of general anesthesia. In recent years, this concept has been changed.Kuramoehi et al. conducted a prospective randomized controlled study on a group of women who underwent laparoscopic surgery for infertility, and found that the patients in the epidural anesthesia group were significantly better than those in the general anesthesia group in terms of analgesia, postoperative respiratory function, and ability to return to normal activities after the operation.Hong et al. conducted a prospective randomized controlled study on a group of 40 women who underwent laparoscopic extensive hysterectomy for cervical cancer, and found that the patients had a higher level of insulin resistance than the general anesthesia group. Hong et al. conducted a prospective randomized double-blind study on 40 patients with cervical cancer who underwent laparoscopic total hysterectomy and found that patients who received epidural injection of morphine and lidocaine for supra-analgesia before induction of anesthesia recovered their immune function faster after surgery and had better postoperative analgesia. Clinically, we have found that anesthesia and analgesic techniques significantly reduce patients’ pain, but at the same time have adverse effects on postoperative recovery, such as postoperative pulmonary atelectasis, intestinal paralysis, nausea, and vomiting may occur. Accelerated rehabilitation techniques advocate the epidural use of local anesthetics to block sympathetic nerves, avoiding the use of opioids, in order to reduce sympathetic arousal, inhibit catabolism, and promote the patient’s recovery.Kawai randomly divided 40 patients undergoing gynecologic laparoscopic surgery into two groups, one group was injected with local anesthetic 0.2% ropivacaine in the epidural, and the other group was injected with the opioids fentanyl and 0.2% ropivacaine in the epidural continuously. Ropivacaine, it was found that both groups of patients were able to eat and get out of bed earlier after surgery, but the incidence of postoperative nausea and vomiting was significantly lower in the former group, suggesting that opioid analgesics are not conducive to the recovery of intestinal function in the postoperative period.Ballantyne et al. found that the incidence of pulmonary complications was significantly lower when local anesthetic medication was used in the epidural compared with the use of epidural opioid medication. Prolonged postoperative bed rest can cause a decline in skeletal muscle contractility; lung capacity, lung volume decreased and caused a decline in pulmonary ventilation, weakening pulmonary function; pregnancy and hypercoagulable tendency of women with a prolonged period of postoperative bed rest, due to the slow venous return of the lower limbs, easy to induce thrombophlebitis of the lower limbs, which in turn caused irreversible damage to the limbs and pulmonary and cerebral embolism, and so on. Therefore, patients should be encouraged to get out of bed early after obstetrics and gynecology surgery. At present, obstetrics and gynecology surgery is routinely indwelling catheter after surgery. Although indwelling catheterization is conducive to the recovery of postoperative bladder function and the prevention of urinary retention. However, it also hinders the patient’s activities to some extent and can cause retrograde urinary tract infections. Therefore, with the exception of extensive total hysterectomy, which requires a longer period of indwelling urinary catheterization, it is generally recommended that the time of indwelling catheterization should not be more than 24 h. For other catheters, such as abdominal drainage tubes or extraperitoneal lymph drainage tubes placed for the purpose of draining inflammatory ooze or seepage of blood from the pelvic and abdominal cavities, the time of indwelling catheterization, if left in place for an excessively long period of time, will also cause psychological burden on the patient, cause infections and other complications, and lead to mobility, so it is recommended that they be placed routinely only when needed. Postoperative and pre-discharge patient counseling is also one of the main components of accelerated rehabilitation techniques. Doctors should inform patients of the possibility of postoperative bloating, nausea, and vomiting and encourage them to eat and move around. Some patients who have undergone tubal or ovarian surgery due to ectopic pregnancy or ovarian tumor will often panic about vaginal bleeding after surgery. Doctors should inform patients of the possibility of vaginal bleeding and the reasons for this phenomenon in time after the surgery, so as to let patients understand that this is not a complication of the surgery, which can alleviate the patients’ nervousness and facilitate their early recovery. Before the patient is discharged from the hospital, the doctor should explain in detail the precautions to be taken after discharge, including the possible situations and measures to deal with them after discharge, the follow-up time, the time needed for complete recovery after the operation, the need for contraception and the mode and time required for contraception, and the need for follow-up treatment. For example, patients with endometriosis are prone to postoperative recurrence and often require adjunctive treatment with drugs such as gonadotropin-releasing hormone agonist (GnRHa) or endometrin. They should be informed of the likelihood of recurrence and specific treatments before discharge.