The integration of computers in neurosurgery has revolutionized the field, transitioning it from reliance on anatomical knowledge to leveraging advanced technology for enhanced precision and outcomes. Since the mid-twentieth century, the adoption of computers facilitated significant advancements in diagnosis, surgical precision, and three-dimensional orientation. Technologies such as stereotactic neuro-navigation, virtual reality (VR), intra-operative imaging, and artificial intelligence (AI) have been pivotal. Stereotactic navigation aids real-time visualization during surgery, while VR assists in surgical simulations and planning. Intra-operative imaging such as CT and MRI provides updated visuals for accurate navigation. AI and machine learning enhance diagnosis, risk assessment, and surgical planning. The integration of these technologies has improved patient outcomes, but also presents challenges such as ethical considerations and potential overreliance on AI. The future of neurosurgery will continue to intertwine with technological advancements, requiring neurosurgeons to stay abreast of emerging tools and techniques.