Abstract: Enhanced recovery after surgery (ERAS) is a new perioperative management concept with a series of evidence-based clinical optimization protocols to minimize surgical stress response, reduce postoperative complications and enhance patients' recovery. Anesthesia management is an important content of ERAS for the approach of a multidisciplinary team. Craniotomy is one of the most high-risk operations with a long duration and a high rate of complication. In recent years, the clinical research and implementation of ERAS management in craniotomy have gradually been carried out and rapidly developed. This article reviews the new progress in anesthesia management of ERAS in craniotomy.