Recently, a beautiful young girl came to the neurosurgery department, she looked just like an ordinary person, but what made her willing to shave off her long hair and undergo craniotomy? It turned out that she was an epileptic patient who had febrile convulsions at the age of 4, followed by febrile-free convulsions, and later on, limb convulsions with no obvious trigger, during which she lost consciousness, stared and drooled for 1-2 minutes, and had 5-6 seizures per year, with seizures becoming more frequent in recent years. With the increase of seizures, her memory gradually faded, she did not dare to go out to work, did not dare to have a boyfriend, did not dare to miss a day of medication, marriage and children seemed particularly distant to her, and her life was closed up. With the help of relatives she, she learned that epilepsy is also surgically treated and came to the neurosurgery department for epilepsy evaluation. Over the years, she also made standardized treatment in regular hospitals and changed a lot of medications, but the seizures still seemed to be increasing, and indeed belonged to intractable epilepsy. After a comprehensive evaluation with video EEG, MRI, and PET, she was found to have “medial temporal lobe epilepsy” and “hippocampal sclerosis” that were suitable for surgery. She underwent the surgery and was discharged from the hospital with long hair to a small flat head and a scar on her scalp, but with a smile on her face and a desire for the future in her eyes. Epilepsy sounds like a scary disease, but it is actually demonized because of the word “epilepsy” in general, and female epilepsy is taboo for more people. In fact, epilepsy is a common disease, the incidence of which is similar to that of stroke, and is also a long-term chronic disease, like hypertension and diabetes, which can generally be controlled as long as you adhere to the medication. The majority of women with epilepsy are able to have normal children. Current data show that more than 90% of children born to mothers with epilepsy are healthy. The chance of having a child with a serious congenital malformation is about 6%, compared to about 2.5% in the normal female population. With proper preparation for pregnancy under the guidance of a physician, in most cases, it also does not exacerbate the mother’s own seizures. Surgical treatment of epilepsy is now used in many patients with refractory epilepsy, and the approach to surgery is determined by an individual assessment of the specific patient. After a rigorous evaluation, surgical patients can usually have their seizures controlled, but it does not mean that they can all stop the medication completely, which depends on long-term follow-up and standardized review of EEG and seizures.