The history of dorsal rhizotomy for the treatment of spasticity was reviewed, from its inception to future perspectives. The evolution of this surgical intervention was staged into five distinct phases: “Dawn and Decline,” “Revival,” “Establishment,” “Development,” and “Future.” Key contributions during each period were highlighted, with particular focus on the progression of surgical techniques and the evolution of intraoperative neurophysiological procedure. Insights leant from this historical review provide valuable guidance for the future development of dorsal rhizotomy in the management of spasticity.