Background <p>Integrating humanities and arts into medical education is essential for developing empathetic, well-rounded clinicians, yet it remains underrepresented. Traditional curricula, particularly in neurosurgery, emphasize biomedical sciences, often neglecting the humanistic aspects. Given the complexity of neurological disorders and the ethical dilemmas inherent in neurosurgical practice, incorporating humanities and arts could foster a more holistic approach to patient care. This review aims to assess the extent, range, and impact of incorporating humanities and arts into the education of neurosurgery for medical students.</p> Methods <p>We used the PRISMA-ScR review protocol to conduct a comprehensive search across multiple databases and grey literature. Studies were included if they involved medical students in neurosurgical education and incorporated humanities or arts, such as literature, visual arts, music, history, or philosophy. All study designs were considered, provided they were published in English. A total of 2411 records were screened, resulting in 15 studies that met the inclusion criteria for further analysis.</p> Results <p>Four key themes emerged: the importance of ethical frameworks and moral reasoning (n = 4), the role of reflective practices and emotional intelligence in professional identity formation (n = 9), humanizing medical practice through arts and narrative medicine (n = 7), and the use of visual arts to enhance three-dimensional thinking in surgical training (n = 3). Studies highlighted that integrating humanities and arts into neurosurgery education enhances empathy, ethical decision-making, critical thinking, and spatial skills essential for surgical practice. While there are efforts to include humanities in medical student education in neurosurgery, the implementation remains inconsistent and lacks rigorous research to validate its impact.</p> Conclusion <p>This review underscores the importance of a more holistic approach to neurosurgical education, where humanities and arts are employed not only to humanize medical practice but also to enhance cognitive skills such as spatial reasoning and decision-making. Teaching methods such as operative rehearsal sketches present a cheap sustainable method that can significantly increase the learning gains attained from cases on surgical approaches and anatomical structures. Advocating for a balanced curriculum that combines biomedical and humanistic education can cultivate generation of future neurosurgeons who are not only technically proficient but also ethically reflective, and emotionally intelligent.</p>