Degenerative scoliosis is common in the elderly, and is usually accompanied with underlying diseases such as hypertension, coronary heart disease, diabetes, and osteoporosis, resulting in high risk of surgery and many complications. Enhanced recovery after surgery (ERAS) requires the surgical team to draw up individualized surgical plans and perioperative interventions considering comprehensive aspects, including age, symptoms, physical signs, physical condition, and bone quality, so as to improve the prognosis and rehabilitation of patients after surgery. This consensus on the perioperative management procedure of ERAS for degenerative scoliosis has been made by experts of Spinal Surgery Department based on evidence-based medicine, and it can be used for clinical reference and application.