Currently, epilepsy is treated mainly with drugs. However, because of the need for long-term, uninterrupted medication, and the various adverse effects of drugs, there are also a small number of patients with epilepsy that are “intractable”, no matter what kind of treatment is not effective, and the drugs are not well controlled. In the face of costly treatment and drug reactions, anxious patients and families always hope to achieve the goal of a “one-size-fits-all” cure without long-term medication through surgery; therefore, surgery was born to deal with various “anxious” patients and families. Therefore, surgery was created to deal with a wide variety of “anxious” patients and families. Unfortunately, the reality of these various surgeries is not encouraging. As a patient with epilepsy, it is important to be careful not to receive a “gentle cut”. It is a reality that most people with epilepsy are poor, and this has to do with the disease and the loss of labor due to the disease, social discrimination, and so on. The patient is prone to anxiety because of long-term medication, and always hopes that some kind of treatment can completely get rid of the confusion of the disease, so as long as there is a little hope, the patient is easily tempted to try, and therefore put into more poverty. Because there is such a demand, there is such a market. Many hospitals are rushing to perform epilepsy surgery, whether they have the conditions or not, to meet patient demand and chase profits. Originally, surgery should only be used as a supplement to drug therapy, but in China, more often than not, surgery becomes the first choice for economic reasons. The key to epilepsy surgery is the indication. Only patients with poorly controlled medication and frequent seizures need to consider surgery – if the medication can be controlled, surgery is superfluous, after all, medication is still needed after surgery; and if the seizures are sparse, 1-2 seizures per year, and the symptoms are mild, surgery is not very meaningful; at the same time, the seizure sparse seizure focus is It is difficult to locate the epileptic focus precisely. In addition, the effectiveness of surgery also depends on the accuracy of preoperative localization of the epileptic focus, which lies in the clinician’s experience, observation of seizures, recognition of symptoms, identification of the origin of the EEG during seizures, and imaging support, etc. All of these require the clinician’s experience, judgment of the condition, and more out of care for the patient to truly allow the patient to obtain effective treatment and effective outcomes. In our reality, based on the profit-seeking impulse, medical institutions will purchase many high-tech devices. In order to return to the capital and to benefit, medical institutions will adopt explicit or implicit means to force the efficient use of high-tech devices. In such an environment, if clinicians lack humanistic care for patients, lack experience, and do not strictly grasp the indications, the benefits of surgical treatment will not be highlighted, but rather harm the patients. What’s more, in order to obtain high profits, medical institutions and their practitioners try to cheat patients out of their money. Clinically, we often meet patients treated in multiple hospitals, using many “international high-tech” methods, including laser, infrared, nanotechnology and other treatments that have not undergone strict clinical testing; or playing the “traditional technology”, “ancestral secret recipe”. “ancestral secret recipe” buried wire method, acupuncture, secret herbal medicine, but the effect is not satisfactory, and even deterioration of the disease. One of the means of these institutions is to promote “fast healing” and “fast cure”, and one of their characteristics is the high price. The end result is that people are left with no money. There are also many different kinds of “gentle cuts”. As a doctor specializing in epilepsy, I feel pity for the patients who are cheated, and I feel helpless and sad that I can’t do anything about it.