Overall, 70-80% of patients are able to achieve long-term complete remission with regular antiepileptic drug therapy. Rational selection of antiepileptic drugs is based on the type of seizure and syndrome, with 40-50% of these cases being able to achieve remission with monotherapy, while the other approximately 30% of patients require a combination of drugs to achieve good seizure control. The remaining 20% or so of patients with drug-refractory epilepsy can also be treated with epilepsy surgery, which can provide complete remission in 15-30% of patients. With the continued development of new antiepileptic drugs and the rapid development of epilepsy surgery, more patients with epilepsy are sure to have their condition under control. Usually, the possibility of medication reduction and discontinuation exists in patients with epilepsy who have been seizure-free for more than 2 years. If the patient has structural brain abnormalities and some specific epilepsy syndromes, this should be extended to 3-5 years without seizures before considering discontinuation. However, the final decision of whether and how to discontinue requires a comprehensive consideration of the cause of the epilepsy, the type of seizures, the classification of the syndrome, the response to previous treatment, and the patient’s personal situation. Generally speaking, it should be tapered over 6-12 months depending on the condition. The taper process should be no less than 6 months for monotherapy and only one drug at a time for polypharmacy, with each antiepileptic drug tapered for no less than 3 months. Epilepsy is a treatable disease, so don’t feel any different or worry about being looked down upon. The vast majority of our epilepsies can be controlled, or even completely cured, with reasonable treatment. But this process takes 3-5 years, or even longer. I hope that the majority of epilepsy patients do not feel discouraged and disappointed, and do not easily believe in some unrealistic advertising – “one or two months to cure epilepsy”. You must have confidence in the face of this disease, and finding the right hospital and doctor is the key to treatment and recovery.