A multidisciplinary Delphi panel published in the Journal of Perinatology outlined consensus criteria for enhanced recovery pathways in newborns and infants, expanding the framework long used in adult surgery to the youngest patients. The international effort, led by Borst, Raval, Perez and colleagues, is designed to provide a shared language for ERAS-style care concepts—standardizing how hospitals evaluate perioperative practices in high-risk pediatric populations. The immediate impact is operational: it enables study designs and adoption pathways to align across institutions, setting the stage for future comparative trials in neonatal and infant perioperative outcomes.