[A historical review and future outlook of neurosurgery in China]

Since its inception in the early 20th century at Peking Union Medical College Hospital, neurosurgery in China has gone through a century-long process from its initial establishment, development to modernization, forming a complete system, covering vascular diseases, tumors, epilepsy, and other diseases. This article reviews the key pioneers and historical milestones in Chinese neurosurgery, highlights the founding and advancement of the Society of Neurosurgery of Chinese Medical Association, and shows major achievements in standardization, training, and international cooperation, etc. At present, with the application of technologies such as artificial intelligence and brain-computer interfaces, network-based neurosurgery has emerged and developed rapidly, marking the transition to Neurosurgery 4.0. In the future, Chinese neurosurgery is poised to further promote interdisciplinary integration and clinical translation in support of the high-quality development of brain science.