Chronic pain remains one of the leading causes of disability worldwide, and spinal cord stimulation (SCS) has emerged as a key therapeutic option for select patients. A new review by Suiter and Russo in BJA Education explores the latest advancements in SCS, from innovative waveforms like burst, high-frequency, and dorsal root ganglion stimulation to technological developments including wireless systems, closed-loop programming, and AI-assisted therapy. The article also examines long-term clinical outcomes, real-world registry data, and the challenges that remain in optimising SCS for chronic pain management.