The digital advertising industry is currently undergoing revolutionary changes that have AI at its core. AI capabilities drive dynamic changes in programmatic video advertising since this automated video advertisement system allows automated buying and placement as well as optimization. Programmatic advertising enhanced by AI enables better audience targeting, delivers greater engagement rates, and provides enhanced return on investment (ROI). To dominate the evolving digital market, advertisers must apply artificial intelligence since video content continuously expands across all digital channels. Programmatic video advertising has transformed through artificial intelligence, which provides optimized targeting capabilities along with personalized content while stopping fraudulent behavior and optimizing campaign performance. Adopting AI-driven programmatic advertising programs delivers essential business advantages, which include better efficiency plus enhanced return on investment and competitive market positioning for advertising companies.