Background: Ward rounds are an essential component of perioperative care. However, the relative effectiveness of different interventions to improve the quality of surgical ward rounds remains uncertain. The aim of this systematic review was to evaluate the efficacy of ward round interventions among surgical patients. Methods: A systematic literature search of the MEDLINE (OVID), EMBASE (OVID), Scopus, CINAHL, and PsycInfo databases was performed on 7 October 2022 in accordance with PRISMA guidelines. All studies investigating surgical ward round quality improvement strategies with measurable outcomes were included. Data were analysed via narrative synthesis based on commonly reported themes. Results: In total, 28 studies were included, which consisted of cohort studies (n = 25) and randomised controlled trials (n = 3). Checklists were utilised most commonly (n = 22), followed by technological (n = 3), personnel (n = 2), and well-being (n = 1) quality improvement strategies. The majority of checklist interventions (n = 21, 95%) showed significant improvements in documentation compliance, staff understanding, or patient satisfaction. Less frequently reported ward round interventions demonstrated improvements in communication, patient safety, and reductions in patient stress levels. Conclusions: Use of checklists, technology, personnel, and well-being improvement strategies have been associated with improvements in ward round documentation, communication, and staff and patient satisfaction. Future studies should investigate the ease of implementation and long-term durability of these interventions, in addition to their impact on clinically relevant outcomes such as patient morbidity and mortality