Enhanced Recovery After Surgery (ERAS) entails a multimodal perioperative management approach aimed at mitigating the body's response to surgical stress. ERAS has demonstrated effectiveness in reducing postoperative complications and shortening hospital stays. Liver resection risks, include, extended operative duration, intraoperative hemorrhage, accompanying hypotension, and substantial fluid shifts. Here we present a case of a 41-year-old female planned for liver resection under general anaesthesia for liver hemangioma of 7 cm × 7 cm × 5cm. Preoperative preparation included carbohydrate loading and venous thromboprophylaxis. Anaesthesia was maintained with propofol infusion, and central venous pressure (CVP) was kept below 4 mmHg to minimize blood loss, which was approximately 850 ml. Postoperatively, the pain was managed with local anesthetic wound infusion, and the patient was monitored in a high-dependency unit for 48 hours before an uneventful transfer to the ward. This case underscores the benefits of Enhanced Recovery After Surgery (ERAS) protocols and meticulous perioperative care in managing giant liver hemangioma resections, resulting in minimal complications and rapid recovery