Introduction. Apart from the undisputable advantages of intraoperative neuromonitoring using the recording of motor evoked potentials (MEPs) used during spine surgery, there are certain limitations of this method that may give rise to doubts about its actual reliability. The presented narrative review aims to discuss some pros and cons of neuromonitoring during scoliosis surgery. Methods and results. The anaesthesiology-related influences, like neuromuscular blockade (0.5 mg/kg of Rocuronium bromide), seem to moderate evoke the diminishing of the MEPs amplitude parameters, especially when they are recorded from nerves in comparison to the muscles recordings in lower extremities. The proper communication between the anesthesiologist and the neurophysiologist in maintaining the relationship between Bispectral Index Monitor (BIS, 40-60) and applied transcranial electrical stimulation stimulus strength (TES, 130-95 mA) is crucial. The non-invasive approach for paediatric purposes of using the surface electrodes during MEP recordings in scoliosis surgery has been proven to be as precise enough as the needle approach. Disadvantages of using surface electrodes may include technical aspects related to their higher resistance than needle electrodes and their possible displacement from the bioelectric signal source, effectively resolved by adhesive, hermetic, and sterile protection tape. Conclusions. “Real-time neuromonitoring”, intraoperative neuromonitoring mainly based on simultaneous recording, inspection and comparison of evoked potential and camera parameters by neurophysiologists, reduces surgery duration and minimizes anaesthesia's impact on cardiac and vascular systems and the nervous system. This requires advanced knowledge of the neuromonitoring person regarding the subsequent steps of the surgical procedure during scoliosis correction.