This review article explores the challenges and opportunities in the Saudi Arabian healthcare system. The Kingdom of Saudi Arabia has made significant strides in improving its healthcare infrastructure over the past few decades, but several challenges persist. These challenges include issues related to access to healthcare services, quality of care, healthcare financing, healthcare workforce, and healthcare technology adoption. Despite these challenges, there are also opportunities for further improvement and innovation in the Saudi healthcare system. This article examines the current state of the healthcare system in Saudi Arabia, identifies key challenges, and discusses potential opportunities for enhancement. By addressing these challenges and leveraging the opportunities available, Saudi Arabia can work towards achieving a more efficient, effective, and patient-centered healthcare system.