The first meeting tool place in St James’s Institute of Oncology, Leeds on 25th June 2014 to move forward plans to set up enhanced recovery for oesophageal and gastric cancer patients. The meeting was well attended by members of the multidisciplinary team and a overall a positive discussion was achieved. The process aims to improve the experience and outcome for patients who receive an operation to remove this type of cancer. Other units have demonstrated that some of the problems after surgery and the duration of stay in hospital may be reduced with adoption of this pathway. We look forward to visiting colleagues in Nottingham who have this already in place and hope that Leeds Teaching Hospitals will support plans to implement this proposal.