The Apple Vision Pro, a cutting-edge mixed reality device, has been evaluated for its potential in neurosurgical planning. A 44-year-old female patient with a history of ruptured intracranial aneurysm and hydrocephalus due to a malfunctioning VP shunt was the subject of this case study. The Apple Vision Pro was used to visualize and interact with a 3D model of the patient's anatomy during the surgical planning phase. The headset allowed for detailed visualization of the brain, skull, and ventricles, aiding in the planning of the shunt placement approach and entry point. Post-procedure, a survey was conducted among clinicians who used the technology, and they reported high realism (4.5/5), natural display of real-world views (4.3/5), and no eye strain or fatigue (4.5/5). Most users expressed interest in continuing to use the headset for future cases (4/5). This report highlights one of the earliest clinical uses of the Apple Vision Pro, emphasizing its potential to enhance neurosurgical precision and efficiency. Further rigorous assessment is needed to refine its role in medical practice.The Apple Vision Pro, a cutting-edge mixed reality device, has been evaluated for its potential in neurosurgical planning. A 44-year-old female patient with a history of ruptured intracranial aneurysm and hydrocephalus due to a malfunctioning VP shunt was the subject of this case study. The Apple Vision Pro was used to visualize and interact with a 3D model of the patient's anatomy during the surgical planning phase. The headset allowed for detailed visualization of the brain, skull, and ventricles, aiding in the planning of the shunt placement approach and entry point. Post-procedure, a survey was conducted among clinicians who used the technology, and they reported high realism (4.5/5), natural display of real-world views (4.3/5), and no eye strain or fatigue (4.5/5). Most users expressed interest in continuing to use the headset for future cases (4/5). This report highlights one of the earliest clinical uses of the Apple Vision Pro, emphasizing its potential to enhance neurosurgical precision and efficiency. Further rigorous assessment is needed to refine its role in medical practice.