Does epilepsy get better with surgery? Is it cured after surgery? Is it possible to stop taking medication completely after surgery? These are all questions that epilepsy patients are eager to understand. The actual surgical treatment of epilepsy and post-operative rehabilitation is still a relatively long process, and not all problems are solved with a single incision. Patients with unsatisfactory drug control or confirmed epileptic lesions in the brain that clearly cause epilepsy can consider surgical removal of the epileptic focus. So, can epilepsy be cured after surgical removal? Do I still need to continue taking medication? Patients with epilepsy who can be considered for surgery fall into 3 categories. One category is patients with epilepsy whose lesions are clearly visible on MRI, whose EEG confirms that the lesions are the root cause of the seizures, and whose lesions are located in non-functional areas, meaning that removal of the lesions will not lead to functional impairment (e.g., speech, physical activity), and who can achieve a 90% cure rate after surgery. Short-term postoperative medication for 6-12 months, no seizures after surgery, and basically normal EEG on recheck, can be considered to stop medication under the guidance of the doctor. In another category, there is no clear lesion causing epilepsy in the head MRI, but the EEG shows focal seizures, such as temporal lobe discharge, frontal lobe discharge, occipital lobe discharge, etc., which is confirmed to be of focal origin by intracranial electrodes, and the discharge is located in non-functional areas, and the postoperative results will also be good, with no seizures and basically normal EEG for 2 years after surgery, and discontinuation of medication can be considered under the guidance of the doctor. In the third category, some patients who are not suitable for resective surgery or cannot be completely resected can undergo palliative surgery, such as corpus callosotomy, thermal coagulation surgery, vagus nerve electrical stimulation, deep brain electrical stimulation, partial epileptic foci resection in functional areas, etc. Patients who undergo these surgeries can have about 50-70% seizure reduction. After surgery, long-term oral medication is required, which basically cannot be stopped, and the cure rate is low.