Objective: This study evaluates and compares postoperative recovery outcomes in women undergoing open abdominal hysterectomy using either the conventional recovery protocol (CRP) or the early recovery after surgery (ERAS) protocol. The objective is to assess the impact of ERAS on hospital stay duration, pain management, ambulation, and complications. Methods: A prospective comparative study was conducted on 100 women undergoing open abdominal hysterectomy for benign gynecological conditions. Patients were divided into two groups: 50 managed with CRP and 50 with ERAS. The primary outcome measures were postoperative pain scores, time to ambulation, length of hospital stay, postoperative nausea and vomiting (PONV), and surgical site infection (SSI). Results: Patients in the ERAS group had significantly improved recovery outcomes. Their hospital stay was shorter (3.2 ± 1.1 days vs. 5.8 ± 1.4 days for CRP), ambulation was achieved earlier (8 ± 3 hours vs. 24 ± 6 hours), and postoperative pain scores were lower (VAS score: 4.8 ± 1.1 vs. 7.2 ± 1.3). Additionally, ERAS patients experienced fewer complications, with lower rates of PONV (16% vs. 30%) and SSI (4% vs. 12%). Conclusion: The ERAS protocol enhances postoperative recovery after open abdominal hysterectomy by reducing hospital stay, improving pain control, and decreasing complications. These findings support the implementation of ERAS as a standard approach to improve patient outcomes and reduce healthcare burdens.