[Objective] To explore the initial outcomes of fast-track surgery (FTS) principles used in arthroscopic rotator cuff repair. [Methods] From July 2020 to July 2021, 112 patients with rotator cuff injury were randomly divided into two groups. All the patients re- ceived arthroscopic rotator cuff repair, of them, 57 patients were treated with FTS perioperative management, while the other 55 patients were treated with conventional treatment. The VAS score, infusion time, hospital stay, incidence of complications, patient's satisfaction were compared between the two groups. [Results] There was no significant difference in gender, age, cause of rotator cuff tear, comorbidity and operation time between the two groups (P＞0.05) . However, the FTS group proved significantly superior to the conventional group in terms of time of postoperative infusion, hospital stay and incidence of complications (P＜0.05) . In addition, the FTS group had significantly higher satisfaction score than the conventional group at discharge (P＜0.05) . Regarding to pain, the FTS group had significantly lower VAS score than the conventional group on the day of surgery and 3 days after operation (P＞0.05) , despite of the fact that no a statistically signifi- cant difference in VAS score between the two groups was noted before and 7 days after operation (P＞0.05) . [Conclusion] The application of fast-track surgery principles in arthroscopic rotator cuff repair does relieve pain, reduce complications and improve patient satisfaction.