The purpose of this review is to analyze current advances in the field of genome editing, their application for the modeling and treatment of neurodegenerative diseases, as well as to discuss current limitations and prospects for overcoming barriers in clinical practice. Materials and methods. To achieve this goal, a systematic analysis of literature over the past nine years (2016–2024) was conducted in the databases CyberLeninka, eLibrary, PubMed, Cochrane Library, SAGE Premier, Springer and Wiley Journals. The main provisions. Neurodegenerative diseases such as Alzheimer's, Parkinson's and Huntington's diseases remain a serious challenge for modern medicine, characterized by progressive loss of neurons and the lack of effective therapeutic methods capable of stopping or reversing the pathological process. In recent years, genome editing technologies, including CRISPR-Cas9, TALEN and ZFN, have opened up new horizons in the treatment of these diseases. However, their clinical application is associated with a number of limitations, including problems of delivering editing tools to cells of the central nervous system, the risk of non-target mutations, and ethical issues. In this regard, the improvement of genome editing methods is one of the key areas. Modern methods such as CRISPR-Cas9, basic and prime editing, as well as epigenomic and RNA editing, have demonstrated high potential for accurate correction of genetic defects and modification of pathogenetic processes. Improvements in delivery systems, including viral and non-viral methods, have made it possible to overcome barriers such as low permeability of the blood-brain barrier and increase the effectiveness of therapy. Conclusion. In recent years, significant progress has been made in the development of methods aimed at improving the safety of genomic editing in the nervous system. Despite significant advances, genome editing technologies face a number of challenges, including the need to increase specificity, minimize non-targeted effects, improve editing in postmitotic neurons and develop long-term safety monitoring methods, as well as address ethical issues related to the clinical application of these technologies.