Neurosurgery, a highly specialized and sophisticated branch of medicine, is devoted to the surgical intervention of maladies impacting both the central and peripheral nervous systems. The intricate nature and meticulous precision demanded by neurosurgery has piqued the interest of artificial intelligence experts. In our comprehensive analysis, we encapsulate the prospective applications of the revolutionary GPT-4 technology within the sphere of neurosurgery, encompassing areas such as preoperative evaluation and preparation, tailored surgical simulations, postoperative care and rehabilitation, enriched patient communication, fostering collaboration and knowledge dissemination, as well as training and education. Furthermore, we plunge into the complex and intellectually stimulating conundrums that arise when integrating the cutting-edge GPT-4 technology into neurosurgery, taking into account the moral considerations and substantial hurdles intrinsic to its adoption. Our stance is that GPT-4 will not supplant neurosurgeons; on the contrary, it possesses the potential to serve as an invaluable instrument in augmenting the precision and effectiveness of neurosurgical procedures, ultimately enhancing patient outcomes and propelling the field forward.