This review explores the design, fabrication, and biomedical applications of nanofibrous scaffolds, emphasizing their impact on tissue engineering and regenerative medicine. Advanced techniques like electrospinning and 3D printing have enabled precise control over scaffold architecture, crucial for mimicking native tissue structures. Integrating bioactive materials has significantly enhanced cellular interactions, mechanical properties, and the controlled release of therapeutic agents. Applications span bone, cardiovascular, soft tissue, neural regeneration, wound healing, and advanced drug delivery. Despite these advancements, challenges such as scalability, biocompatibility, and long-term stability remain barriers to clinical translation. Future research should focus on developing smart scaffolds and utilizing AI-enhanced manufacturing for more personalized and effective regenerative therapies. [ABSTRACT FROM AUTHOR]