The assessment of postoperative seizure status and quality of life in epileptic patients is an important aspect of evaluating the effectiveness of surgery. The most direct effect of surgery is the change in the number of seizures. Both Penfield’s earliest postoperative outcome evaluation criteria and Engel’s and Tan’s evaluation methods, which have been widely used in recent years, are based on the change in the number of seizures after surgery. In contrast, quality of life assessment is comprehensive and can reflect patient behavior, schooling, employment, psychosocial, self-confidence, marriage and fertility, and mental and cognitive status. Quality of life reflects the difference between the patient’s expected physical and mental health, independence, and social relationships and their actual status. There is a consensus that quality of life for patients with epilepsy should include the following 10 areas: symptoms, functional status (work, housework), social functioning, emotional status (anxiety, depression), cognition, sleep and rest, energy and vitality, feelings of well-being, and overall life satisfaction. Assessment of quality of life Engel’s taxonomy for surgical outcomes