Physiotherapy is crucial for optimizing recovery, reducing pain, and improving quality of life after surgery. This review explores best practices and innovations in post-surgical rehabilitation, emphasizing the importance of individualized care and advanced technologies. Key practices include preoperative assessment, immediate postoperative care, and long-term rehabilitation strategies. Technological advancements, such as robotic-assisted rehabilitation, virtual reality, and tele-rehabilitation, provide new tools for effective therapy. Novel techniques like hydrotherapy, acupuncture, and dry needling enhance pain management and functional recovery. Challenges include ensuring patient compliance, managing resource limitations, and providing effective pain control. Addressing these requires strategic investment in healthcare infrastructure, training, and interdisciplinary collaboration. Case studies and clinical trials highlight the effectiveness of structured rehabilitation programs and innovative approaches. Future directions involve further research into personalized rehabilitation programs, long-term outcomes, and the integration of emerging technologies. Policy recommendations focus on equitable access to services, continuous professional development, and promoting interdisciplinary care. By adopting these strategies, physiotherapists can enhance the recovery experience and outcomes for surgical patients, ensuring high-quality, patient-centered care.