Abstract Aim Homogeneity within surgical academia has been shown to precipitate increased risks of erroneous diagnoses and impede innovation. Successive generations have introduced equality, diversity, and inclusivity (EDI) to the surgical workforce. However, healthcare professionals, especially those in training, still experience bullying and harassment, particularly in neurosurgery and spinal surgery (SS). Therefore, a scoping review (SR) was conducted to evaluate bullying culture within neurosurgery and SS centres globally, focussing on British institutions. Method SR complied with the Arksey and O'Malley framework, where PubMed/MEDLINE, Embase, and Google Scholar were searched between 2020-current. Only relevant papers were screened per inclusion criteria to keywords: ‘bully’, ‘harass’, ‘neurosurgery’, and ‘spine surgery’, adhering to PRISMA-SR guidelines. Using pretested forms, two separate reviewers conducted review selection and characterisation. Results Articles searched surmounted 13,298, where 37 select articles, of which 8 were included in final analysis. Of these, letters, editorials, and cross-sectional surveys accounted for 25%, 37.5%, and 37.5%, respectively. Common themes comprised EDI workforce embracement and collective policy implementation for dynamic social change (n=62.5%). Issues related to institutional reputation (n=50%), barriers to career prospects (n=25%), retaliation (n=12.5%), and stress (n=25%) amongst healthcare professionals raising concerns. Conclusions Facing discrimination, prejudice, and harassment is immoral and unethical in the context of neurosurgical or SS training. While original research evaluating EDI issues in surgery has proliferated, emphasis should be exercised when assessing this impact among neurosurgical and SS trainees. Our SR elucidates that social change remains contentious in neurosurgery and SS. Further work is warranted to establish such perspectives within the UK.
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