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The integration of ERAS\n                    <jats:sup>\u00ae<\/jats:sup>\n                    with a robotic surgical approach (RERAS-concept) may be associated with synergistic effects especially for this group of patients. However, real-world-data evaluating age-related differences in postoperative recovery under RERAS conditions remain limited. This retrospective analysis of a prospectively maintained database included all elective robotic colorectal resections performed between January 2019 and April 2024 under a fully standardized ERAS\n                    <jats:sup>\u00ae<\/jats:sup>\n                    -protocol. Patients were categorized into younger (\u2264\u200969 years) and older (\u2265\u200970 years) adults. The primary endpoint was the comparison of short-term perioperative outcomes. Secondary endpoints comprised functional recovery parameters and perioperative ERAS\n                    <jats:sup>\u00ae<\/jats:sup>\n                    compliance. 344 robotic colorectal resections were analyzed (219 colon and 125 rectal resections). Older adults presented with increased frailty levels across both colon and rectal resections (mFI-5 all p\u2009=\u2009&lt;\u20090.0001). In colon resections, this was accompanied by significantly higher preoperative risk profiles, reflected by a greater proportion of ASA III patients (72.1% vs. 40.7%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.0001), while intraoperative characteristics, postoperative morbidity and length of hospital stay were comparable between age groups. Older adults achieved oral pain control earlier (1 vs. 2 days;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.0410), reported lower postoperative pain scores from the day of surgery through postoperative day 3 (all\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05) and demonstrated greater mobilization on postoperative day 3 (6 vs. 5\u00a0h;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.0298). In rectal resections, younger patients more frequently received neoadjuvant therapy (59.1% vs. 39%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.0248). Duration of surgery was shorter in older adults (229 vs. 245\u00a0min;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.0176), while the other endpoints were comparable between cohorts. In this real-world cohort, robotic colorectal surgery within a standardized ERAS\n                    <jats:sup>\u00ae<\/jats:sup>\n                    pathway resulted in comparable postoperative recovery across age groups, with statistically significant advantages in pain control and mobilization favoring older adults, supporting age-independent implementation of the RERAS concept.\n                  <\/jats:p>","DOI":"10.1007\/s11701-026-03426-1","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T09:35:21Z","timestamp":1784540121000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["RERAS: does age define recovery? 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