Introduction: Enhanced recovery after cesarean (ERAC) delivery is a multimodal approach aimed at reducing surgical stress and accelerating maternal recovery after cesarean. Its application remains limited in many African contexts. This study evaluated the application and results of an ERAC protocol in an hospital of sub-Saharan Africa. Patients and Methods: this is a prospective, descriptive and analytical study conducted over 5 months. Fifty patients who underwent a caesarean section under spinal anesthesia and met the inclusion criteria were analyzed. The data was collected from obstetric records, anesthesia registers and interviews with patients. The variables included demographic, per and postoperative clinical parameters as well as maternal feeling and satisfaction. The analyses were performed with STATA with a significance threshold p<0.05. Results: The average age of patients was 27.2 years. The majority of caesarean sections were scheduled (82%) and performed for scarring of the uterus (44%) or fetal and adnexal pathologies (30%). All patients benefited from effective multimodal analgesia, an early mobilization and feeding protocol. Immediate skin-to-skin contact was established in 96% of patients. Postoperative pain was well controlled with a VAS < 3 at rest in 84% of patients. Overall maternal satisfaction was high in 92% of parturients. The most common adverse events were postoperative nausea vomiting (34.6%) but did not compromise the benefits of the protocol. The average length of stay was 57 hours. Conclusion: The implementation of the ERAC protocol in sub-Saharan Africa is feasible and well accepted by patients. It promotes rapid recovery, pain control and strong maternal satisfaction. Enhanced staff training could optimize the application of the protocol.