The evolution of microfluidic and microneedle (MN)-integrated good wearables has witnessed important strides in recent times, underscoring a burgeoning curiosity of their multifunctional capabilities and transformative potential in healthcare. Fueled by the crucial to reconcile exact drug supply with real-time physiological monitoring, researchers have focused on revolutionary design enhancements to optimize structural integrity and useful efficacy. However, reaching this equilibrium presents appreciable challenges, necessitating the deployment of superior supplies and cutting-edge fabrication methodologies to refine efficiency. This overview undertakes a radical evaluation of latest developments in microfluidic wearables that incorporate MNs. Microneedles facilitate minimally invasive entry to the physique, fulfilling twin features in drug administration and diagnostics, whereas built-in microfluidic techniques provide meticulous management, automated operations, and superior fluid dealing with capabilities. Collectively, MNs and microfluidics signify a potent convergence inside biomedical engineering, with every element amplifying the operational capability of the opposite. In conclusion, we tackle the urgent challenges and potential instructions for the development of MN-based good wearables. With the continued evolution of those applied sciences, there lies immense potential to revolutionize remedy paradigms throughout a various array of medical situations, thereby paving the best way for extra exact, adaptable, and patient-centered therapeutic interventions.