Abstract: Objective To evaluate the implementation method and effect of enhanced recovery after surgery （ERAS） for patients undergoing minimally invasive abdominal surgery in secondary hospitals. Methods A total of 102 patients undergoing minimally invasive abdominal surgery were divided into the observation group （n = 51） and control group （n = 49）. Patients in the control group were treated with conventional ERAS during the perioperative period, and those in the observation group received modified ERAS. Clinical parameters and the incidence of postoperative complications were statistically compared between two groups. Results Compared with the control group, postoperative exhaust time was significantly earlier, VAS score at postoperative 24 h was remarkably lower and the length of hospital stay was considerably shorter in the observation group （all P < 0.05）. The incidence of vomiting, abdominal distension, intestinal obstruction, postoperative hypothermia and other complications in the observation group was significantly lower than that in the control group （all P < 0.05）. Conclusion Application of modified and individualized ERAS in secondary hospitals can reduce the incidence of postoperative complications, accelerate early recovery and shorten the length of hospital stay of patients treated with minimally invasive abdominal surgery.