Augmented Reality (AR) and Virtual Reality (VR) technologies have been used to transform surgical operating systems by enhancing visualization, preoperative planning, intraoperative navigation, and surgical training. AR and VR are simulated imaging tools used in surgery. Using 2D and 3D image rendering from VR/AR tools, surgeons can mimic real surgical procedures and anatomy, thereby boosting preparedness and efficiency in the operating room. However, validity, cost, training requirements, and ethical concerns remain. This study provided a comprehensive review of AR/VR applications across surgical workflows. A conceptual framework was proposed which included safety, accuracy, regulation, education, and workflow integration. Future research must balance innovation with clinical prudence to realize the potential of AR/VR while managing risks. This review synthesizes insights that serve as a knowledge base for transforming surgical systems using immersive technologies.