Recent advancements in drug delivery systems, particularly those utilizing nanotechnology, offer promising avenues for more effective treatment of osteoporosis, a silent and progressive disease prevalent among postmenopausal women. Nanoparticle-based drug delivery systems, including liposomes, polymeric nanoparticles, and micelles, enable targeted delivery of osteoporosis drugs to specific sites in the body, such as areas of bone loss. This targeted approach enhances drug concentration at the desired site while minimizing systemic exposure, thereby reducing adverse effects. Additionally, nanoparticles can be engineered for controlled drug release, prolonging its therapeutic effects. Surface modification of nanoparticles with targeting ligands, like bisphosphonates, further enhances their bone-targeting capabilities, ensuring efficient uptake by bone cells. Hydrogel-based drug delivery systems represent another innovative approach for osteoporosis treatment. Hydrogels, loaded with osteoporosis drugs, provide sustained release of the drug and can promote bone regeneration, enhancing therapeutic potential. Gene therapy, involving the delivery of genes encoding bone-stimulating factors, offers a promising avenue for the long-term management of osteoporosis by targeting underlying molecular mechanisms. Microneedle patches and 3D-printed implants provide minimally invasive and customizable drug delivery methods, enhancing patient convenience and compliance. Despite these advancements, challenges remain, including ensuring the safety and biocompatibility of nanomaterials, optimizing the targeting efficiency of nanoparticles, evaluating long-term effects and risks associated with gene therapy, and addressing the scalability and costeffectiveness of advanced drug delivery systems. However, integrating nanotechnology into drug delivery systems has significantly advanced osteoporosis treatment, offering targeted and personalized therapies with minimized adverse effects and maximized therapeutic efficacy.