Dental implant therapy has evolved significantly with the introduction of digital technologies and computer-assisted surgical techniques. Guided implant surgery has become an increasingly important tool for improving implant placement accuracy, reducing surgical complications, enhancing prosthetic outcomes, and increasing patient satisfaction. The integration of Cone Beam Computed Tomography (CBCT), intraoral scanning, computer-aided design/computer-aided manufacturing (CAD/CAM), and three-dimensional (3D) printing has revolutionized treatment planning and surgical execution. This review evaluates current concepts in guided surgery for dental implant placement, including workflow protocols, classification systems, surgical guides, clinical applications, accuracy outcomes, advantages, limitations, and future developments. Current evidence demonstrates that guided surgery significantly improves implant positioning while minimizing surgical trauma and treatment time. Emerging technologies such as artificial intelligence, dynamic navigation systems, robotic-assisted implant placement, and augmented reality are expected to further enhance the precision and predictability of implant therapy.