The surgical microscope is a powerful magnification tool that has become an indispensable companion for Plastic surgeons in the microsurgery age to sculpt tissue with unparalleled precision and artistry. The microscope was invented in the late 16th century to explore the concept of magnification from unexplained observations from the ancient era. This was first used by scientists until otolaryngologists became the first surgeons to use the operating microscope in the early 20th century. Only after the post-WWII era did advancements in optics and illumination truly unleash the instrument's potential with ophthalmologists and plastic surgeons using it in the operating room. The first modern commercially available microscope for surgery was invented by Zeiss in the 1950s, concurrently with microsurgery instruments. High-powered magnification and lighting systems enabled surgeons to visualize previously unseen structures, facilitating widespread utility of procedures like flap transplants and free tissue transfers. The impact of the surgical microscope in plastic surgery is multifaceted. It allows for enhanced precision, minimally invasive technique, and advancement in reconstructive technique. In the future, integration with augmented reality and advanced imaging technologies holds the potential for even greater precision and real-time feedback. This powerful tool continues to shape the visible world, restoring form and function Till Wagner, Stefan Hummelink, Dietmar Ulrich, Past, present and future in plastic flap surgery: From surgeon to bioengineer driven progress. A personal view, Journal of Tissue Viability, Volume 31, Issue 4, 2022, Pages 800-803, ISSN 0965-206X,