Artificial intelligence (AI) is fundamentally transforming the field of surgery, particularly in complex, high-precision procedures. Perhaps among these are the benefits that accrue from AI precision surgery, with all of the theoretical bases encompassed and realized within machine learning algorithms, large data analytics, and real-time intraoperative guidance; it, therefore, offers the most profound benefits through improved surgical precision, reduced risks, and better patient outcomes. Thus, the most critical and influential applications of neurosurgery revealed were those using AI-guided systems in doing highly sensitive and complex anatomical structure operations, more precisely and safely than ever before. A key technology that drives these innovations is AI-enhanced image processing. It can take preoperative imaging data from MRI and CT scans and transform them into three-dimensional reconstructions showing incredible detail of the surgical field. These algorithms can, then, process this data to identify structures that are critical, such as nerves, blood vessels, and tumors, with much greater accuracy than conventional imaging techniques.