Many young people with epilepsy and their families are concerned about this issue, but first I would be more optimistic and tell you that most epilepsy is not hereditary. The first thing I would like to tell you is that most people with epilepsy do not have epilepsy. The most direct way to determine whether epilepsy is hereditary is to look at the family history and investigate whether there are three to four generations of paternal or maternal family members who have epilepsy. In addition, to determine whether epilepsy is hereditary, one can look at genetics. Nowadays, medicine has discovered some genes related to epilepsy, and if similar genes are found to exist, then there is a certain probability of inheritance, but even if there is a problem with the genes, it is not 100% that there will be epilepsy, some are recessive and some are dominant. The main types of epilepsy found to be hereditary are febrile convulsions, some benign epilepsy in infants and children, and tuberous sclerosis. Although hereditary, such as tuberous sclerosis, the father can have nodules without the onset of the disease, and some patients are not inherited, but are the result of their own genetic mutations. In addition, there is a more objective phenomenon that most of the genetic epilepsies are benign, that is, they only develop in infancy and childhood and get better or rarely have seizures in adulthood, and they do not affect intelligence and are able to study and work and have children like normal people, because only then does his epilepsy gene get passed down from generation to generation. The more severe epilepsy, with frequent seizures, low intelligence, and inability to study and work and socialize, is either due to premature death from the disease or the inability to marry and have children, which makes the epilepsy gene obsolete. Therefore, from the perspective of epilepsy treatment, sometimes it is a welcome message for children with epilepsy to ask about family members who have a history of epilepsy, especially those with a family history of epilepsy who had seizures in infancy and childhood and got well in adulthood.