Is epilepsy in children, a common pediatric condition, scary? Many people think it is scary, probably because they believe that epilepsy is an untreatable, incurable disease. But is that the case? Apparently not! Epilepsy, commonly known as sheep epilepsy, is a transient brain dysfunction caused by abnormal synchronized discharges of neuronal populations in the brain, manifested as a series of symptoms, convulsion-like seizures, dazedness, abnormal mental behavior or sensory abnormalities, and various other manifestations, which may have adverse effects on the child’s cognition, psychology, and behavior. Depending on the cause, epilepsy is broadly classified into idiopathic, symptomatic and cryptogenic epilepsy, most of which are treatable and curable, and this view is supported by evidence. Many people ask why a child has epilepsy, and this is a question of etiology. The etiology can be broadly divided into six directions involving genetic, infectious, metabolic, structural, metabolic, immune, and other (unknown) causes, and treatment will vary and end differently for different causes. Overall, the outcome of treatment tends to be good for causes that can be cleared or resolved; those whose causes cannot be dismantled have a relatively poor, but not untreatable, prognosis. The overall treatment of epilepsy can be divided into allopathic and symptomatic treatment. From this point of view, the etiological diagnosis of epilepsy is particularly important, and at the diagnostic level, we must find the relevant cause as much as possible to treat it specifically. For example, structural abnormalities of the brain leading to epilepsy, brain tumors, gray matter heterotopia, and limited cortical dysplasia tend to be preferred to surgical removal of the epileptogenic focus. Then, for example, diseases related to metabolic disorders, such as methylmalonic acidemia, glutaric aciduria, phenylketonuria, mitochondrial disease, glucose transporter 1 deficiency syndrome, etc., can be treated by choosing component diet, enzyme replacement therapy, ketogenic diet, etc. For idiopathic or cryptogenic epilepsy, symptomatic treatment is used as the main treatment, and antiepileptic drugs antiepileptic treatment is often used as a basic treatment, about 70% to 80% of children can get clinical remission, the effect is amazing, of course, the treatment time needs to be monitored for the possibility of adverse drug reactions. Finally, we should understand that epilepsy is a treatable disease, most of the treatment outcome is wonderful, we should have the confidence to overcome it, overcome it and meet the good life, together.