The treatment of female patients with epilepsy is the same as that of other patients, including drug therapy, surgical treatment and daily life intervention therapy, but considering the physiological and social factors of women, antiepileptic treatment should fully consider the impact on the physiological function of patients. In addition to the general principles, the following points should be noted for female patients: 1. Adolescent and young women should pay attention to the effects of antiepileptic drugs on sex hormones and menstrual cycle, and try to avoid drugs that can cause endocrine dysfunction in women, such as sodium phenytoin and phenobarbital. For women of childbearing age, if epilepsy has been effectively controlled, it is advisable to consider planning pregnancy after 6 months of drug discontinuation in female patients. If the medication cannot be discontinued, it should be adjusted to low-dose monotherapy as much as possible. 3. Female pregnant women with epilepsy should be monitored to minimize seizures during pregnancy and regularly monitor the blood concentration of antiepileptic drugs to reduce teratogenic effects on the fetus. 4, female lactating patients with epilepsy should choose drugs with low breast milk filtration rate, such as lamotrigine, oxcarbazepine, etc. If the patient is not treated with standard medications, or if there is a clear pathogenic focus in the patient’s brain and the risk of surgery is small, surgical treatment can be performed. Surgical options include resection, palliative surgery neuromodulation surgery, etc. The appropriate surgical procedure should be selected according to the patient’s condition. In addition, lifestyle interventions in epilepsy treatment are also very important, both to take medication on time and in the right amount, and to maintain healthy work and rest habits to avoid exertion, hunger, emotional excitement or infection to maximize seizure control. In summary, the treatment of female epilepsy patients is roughly the same as other patients, but their physiological peculiarities should be taken into account and the best treatment plan should be developed in conjunction with the patient’s physical condition and illness.