<p>Suicidal ideation among surgeons is a critical issue, with prevalence rates significantly higher than the general population. This review was conducted with the objectives to find the magnitude and gravity of suicidal ideations among surgeons and its risk correlates that are linked to human and workplace stress issues. Factors, viz., triggering thoughts related to toxic work culture, perfectionism, financial instability, retirement blues, and substance abuse, further exacerbate mental health challenges. The stigma surrounding mental health in the surgical profession prevents many from seeking timely support. A comprehensive prevention strategy must include confidential mental health programs, structured work-life balance initiatives, peer support networks, and educational interventions on resilience and stress management. Institutional policies should actively combat bullying, harassment, and excessive workload while promoting a culture of psychological safety. Addressing financial burdens and ensuring access to counseling can mitigate key stressors. Prioritizing surgeon well-being through systemic reforms is essential to reducing suicide risk and enhancing professional fulfillment.</p>