Background: Enhanced recovery after surgery (ERAS) concept has been implemented in many surgical specialties, with improved surgical and clinical outcomes, all while decreasing hospital cost. We have established a single center ERAS protocol for Anterior Cervical Discectomy and Fusion (ACDF) same-day surgeries. Methods: A retrospective analysis of prospective collected data of all patients undergoing one to two level ACDF surgeries at the CHUM based on a patient selection criteria’s list. Demographics, BMI, patient report outcome measures (NDI, VAS, mJOA), operative time, wake up time, time in recovery room and time till discharge were analysed. Complications were also noted. Results: When compared to our pre-ERAS group, our study showed that an ERAS protocol in select patients is not associated with any peri-operative complications, no 30-day / 90-day readmissions, nor any conversion to admission. All patients were safely discharged as planned. Operative length was similar. There was no dysphagia noted. There was improvement in all PROMs. Conclusions: ERAS protocol for ACDF same day surgeries in carefully selected patients is safe and provide same clinical outcomes. Meticulous surgical techniques, close post operative observation with a follow-up telephone call the next day are all key in assuring a safe and successful surgery and patient discharge.