Abstract： Objective： To observe the effect of the enhanced recovery after surgery （ERAS） therapy combined with transcutaneous electrical acupoint stimulation （TEAS） as an adjunct to multimodal analgesia （MMA） in pediatric penile repair surgery. Methods：A total of 123 children scheduled for elective penile repair surgery at Lishui Central Hospital from July 2024 to March 2025 were selected and divided into the control group， the TEAS group， and the combination group according to the random number table method， with 41 cases in each group. The control group received MMA therapy，the TEAS group received TEAS with MMA therapy，and the combination group received TEAS with MMA therapy under the guidance of ERAS. Postoperative recovery， pain severity at various time points after surgery [Faces Pain Scale-Revised （FPS-R） scores]，psychological status [Hamilton Anxiety Scale （HAMA） scores， Hamilton Depression Scale （HAMD） scores]， treatment satisfaction， and the incidence of adverse reactions were compared among the three groups. Results：The time to first ambulation was earlier in both the combination group and the TEAS group compared with those in the control group （P＜0.05）. The duration of hospital stay was shorter in the combination group than in the TEAS group and the control group（ P＜0.05）. At 6，12，24，and 48 hours after surgery， the FPS-R scores gradually decreased in all three groups （P＜0.05），and the FPS-R scores at each time point were lower in the combination group than in the TEAS group and the control group （P＜0.05）. After surgery， HAMA and HAMD scores decreased compared with those before surgery in all three groups （P＜0.05），and the HAMA and HAMD scores in the combination group were lower than those in the TEAS group and the control group （P＜0.05）. Treatment satisfaction was higher in the combination group than in the TEAS group and the control group， with a statistically significant difference （P＜0.05）. There was no statistically significant difference in the incidence of adverse reactions among the three groups after surgery （P＞0.05）. Conclusion： The application of the ERAS therapy combined with TEAS as an adjunct to MMA in the perioperative period of pediatric penile repair surgery helps to alleviate pain， improve negative emotions，shorten hospital stay，and results in higher treatment satisfaction.