To study the effects of enhanced recovery after surgery (ERAS) strategy used during the perioperative period of the gynecological pelvic floor reconstruction surgery of patients on their perioperative recovery. Methods: From January 2020 to December 2022, 112 patients who wanted selected total pelvic floor reconstruction due to pelvic organ prolapse were selected by facilitated drawing method and were randomly divided into two groups. 56 cases in study group were given ERAS strategy during the perioperative period of the pelvic floor reconstruction and 56 cases in control group were given routine treatment. The perioperative indicators and postoperative complications of the patients were compared between the two groups. The pelvic organ prolapse grading (POP-Q) of the patients in the two groups was evaluated after 1-year of follow-up. Results: The situation of postoperative recovery, such as the time of feeding for the first time (8.47±2.26h), the exhaust for the first time (19.81±5.61h), the time of defecation for the first time (59.27±7.74h), the time to the first time of getting out of bed (27.35±7.82h), and the duration of hospitalization (7.33±1.80d) of the patients in the study group were significantly shorter than those (27.19±8.25h, 28.39±6.72h, 71.35±10.37h, 41.67±9.14h, and 9.51±2.25d) of the patients in the control group. The incidence of postoperative nausea/vomiting (8.9%) of the patients in the study group was significantly lower than that (23.2%) of the patients in the control group. The incidence of postoperative disturbance of water and electrolyte (10.7%) and the total complication rate (23.2%) of the patients in the study group were significantly lower than those (26.8% and 46.4%) of the patients in the control group (P<0.05). There was no significant difference in the long-term rehabilitation index evaluated by POP-Q of the patients in 1-year after operation between the two groups. Conclusion: The total pelvic floor reconstruction operation based on ERAS concept of the patients can promote their perioperative recovery and reduce their incidence of postoperative complications.