Minimally Invasive Scoliosis Surgery (MISS) represents a transformative shift in the treatment of spinal deformities, offering a modern alternative to traditional open surgical approaches. As a relatively new and rapidly evolving method, it combines advanced imaging technologies, specialized instruments, and refined techniques to correct scoliosis with reduced tissue disruption, smaller incisions, and expedited recovery times. For professionals in orthopedic surgery, neurosurgery, and related fields, this approach not only challenges conventional paradigms but also opens critical discussions about optimizing patient outcomes, balancing innovation with evidence-based practice, and addressing the unique anatomical complexities of scoliosis. While Minimally Invasive Spine Surgery for Scoliosis demonstrates promising results in pain reduction, hospital stay duration, and cosmetic benefits, its adoption requires careful consideration of indications, long-term efficacy, and the steep learning curve associated with mastering these techniques.