Abstract: Reducing surgical injury is always the determinant factor of enhanced recovery after surgery (ERAS), which has not received sufficient appreciation in current ERAS studies, especially in complex surgeries such as gynecologic oncology. The main resolving strategies include the respect for learning curves, comprehensive surgical plans, timely summary of setback experiences, and carrying out prospective researches. In this article, the effect of surgical injury on enhanced recovery after gynecological oncology surgery and possible improvement measures were discussed.