In general, if the presence of a relatively limited epileptogenic focus in the brain can be determined through reasonable examination and can be accurately localized, and if it can also be determined that removal of this part of the brain tissue will not cause serious functional damage, the surgical outcome is expected to be good in most cases. The following is a ranking of the efficacy of epilepsy surgery in our center after a long period of epilepsy surgery, combined with reports from other epilepsy centers at home and abroad, which may be helpful to patients with epilepsy. The first in the ranking is unilateral medial temporal lobe epilepsy, which can be diagnosed by advanced examinations such as long-range video EEG, MRI and PETCT. There is no need to bury intracranial electrodes, and the epileptogenic focus can be accurately removed in a single procedure. The second in line is epilepsy secondary to lesions such as focal cerebral cortical dysplasia, low-grade glioma, meningioma, cavernous hemangioma, and cerebrovascular malformation. However, it is important to note that the epileptogenic focus is not the lesion area but the surrounding seemingly normal brain tissue, and it is impossible to cure epilepsy by simply removing the lesion without removing the epileptogenic focus. Some less experienced medical units do not have the ability to make an accurate diagnosis and rashly remove the lesion alone, often worsening the seizures. The third in line is unilateral frontal lobe epilepsy, parietal lobe epilepsy, lateral temporal lobe epilepsy, occipital lobe epilepsy, and other lobe epilepsy. In addition, in cases with multiple epileptogenic foci, especially in the bilateral hemispheres, the disease is often too severe to allow for proper removal of the foci, but after removal of the most significant one or two foci, or after interruption of epileptic wave transmission between the two hemispheres by corpus callosotomy, most patients will improve substantially, but will undoubtedly still need to take a full dose of antiepileptic drugs. In cases with mild symptoms and diffuse epileptogenic foci, such as many adults with frontal lobe epilepsy, surgical treatment is generally not recommended because the condition itself does not pose a serious impact on life and work, and the brain areas that cause seizures often have more important functions, and removal of the epileptogenic foci will bring about a more significant regression in brain function.