The letter to the editor in the Asian Spine Journal discusses current issues in the treatment of adolescent idiopathic scoliosis (AIS), emphasizing the need for a tailored approach based on factors like curve progression, patient age, and skeletal maturity. The review covers traditional and innovative treatments, including physiotherapeutic interventions and the role of artificial intelligence (AI) in customizing treatment protocols. Physiotherapy, scoliosis-specific exercises, and AI-driven predictive tools have shown promise in improving outcomes for AIS patients, highlighting the potential for more effective and individualized interventions in the future.