Objective To investigate the application effectiveness of the 7S management model in perioperative nursing for patients undergoing neurosurgical magnetic resonance surgery, with a focus on its impact on patient satisfaction, adverse event incidence, and operating room nursing management quality. Methods A total of 86 patients undergoing magnetic resonance surgery in the Department of Neurosurgery of Tongji Hospital, Tongji Medical College of HUST, from January 2022 to December 2024 were enrolled. The control group comprised 43 patients receiving conventional nursing management from January 2022 to June 2023, while the observation group included 43 patients receiving the 7S nursing management model from July 2023 to December 2024. Nursing satisfaction, perioperative adverse event rates, and operating room nursing management quality scores were compared between the two groups. Results Compared with the control group, patients in the observation group demonstrated significantly higher overall nursing satisfaction (P＜0.05). Scores for all dimensions of operating room nursing quality (sterile field management, environmental management, safety management, and supply management) significantly improved (all P＜0.001). simultaneously, the overall adverse event rate was significantly reduced in the observation group (P＜0.05). Conclusion The application of the 7S management model in the perioperative nursing of neurosurgical magnetic resonance surgery can effectively improve the quality of nursing management and patient satisfaction, and significantly reduce the incidence of adverse events. It has positive clinical application value in ensuring patient safety and optimizing the management process of the operating room.