Originally streamed live from the EBPOM USA 2019 conference in Dallas this piece looks into the realities of enhanced recovery. Patient satisfaction and outcomes rise to the top of the priority list as an institution invests in the idea, how long does it take for a clear financial return on the investments required to get it off the ground? How do we get a team motivated to work towards these ideas? Are there any disadvantages to enhanced recovery? How do patients react to it? Also, how does blockchain technology (the innovation behind cryptocurrencies such as Bitcoin) interlock into more practical transfers of patient data? What other innovations are on the horizon? Presented by Desiree Chappell with Monty Mythen and their guest Sabry Ayad, Professor of Anesthesiology, Cleveland Clinic Lerner College of Medicine at Case Western Reserve University.