Background: Shivering during spinal anesthesia is a multifactorial challenge triggered by factors such as cold environments and vasodilation, leading to discomfort, increased oxygen consumption, and potential surgical complications. Effective prevention and management strategies are essential to ensure patient well-being. This review article explores a range of methods, including non-pharmacological and pharmacological approaches, for shivering prevention during spinal anesthesia, considering patient-specific factors and potential side effects, while also highlighting recent advancements in this field and their clinical implications. Objective: The aim of this review article is to provide a comprehensive overview of recent advancements and approaches in the prevention of shivering during spinal anesthesia. It explores the mechanisms underlying shivering, discusses a wide range of pharmacological interventions, highlights non-pharmacological strategies, and offers insights into clinical considerations. Conclusions: Shivering during spinal anesthesia remains a significant concern, but recent developments in both non-pharmacological and pharmacological methods offer promising avenues for prevention and management.