Epilepsy is one of the most common neurological diseases in the world, and about 20-30% of them are refractory epilepsy, also called intractable epilepsy, which is clinically prolonged, with frequent seizures at least 4 times a month, and cannot be effectively controlled after more than 2 years of regular antiepileptic treatment, trial of major antiepileptic drugs alone or in combination, reaching the maximum dose tolerated by the patient, and the blood concentration reaching the effective range, because epilepsy The uncontrollable seizures and the unpredictability of the seizures often result in bruises, multiple fractures, tooth loss and burns, which seriously affect the daily life of the patients, and even inadvertent aspiration and suffocation, endangering the lives of the patients, who often move around the country, leaving their footprints in the pursuit of recovery as long as there is hope for improvement. At present, refractory epilepsy is also a difficult and hot spot in the global epilepsy field, and epilepsy surgery has opened up new horizons for patients with refractory epilepsy. In cases where various antiepileptic medications do not work, the possibility of surgical treatment should be further considered. Because surgery has certain risks after all, except for definite lesion removal surgery, only refractory patients whose medication is really ineffective should be considered for surgery. “Many people ask, “Will you be paralyzed and unable to speak?” For epilepsy surgeons, the surgical treatment of epilepsy surgery is not only to maximize the removal of the lesion, but also to reduce the damage caused by surgery to the patient. In the last 20 years, the use of surgery for refractory epilepsy has become an important tool in the treatment of epilepsy. For partial epilepsy resection, the preoperative localization of the epileptic focus must be very clear; the resected brain area should be very limited; and the surgery should not result in severe functional impairment. Some other surgical approaches are available for generalized epilepsy, but some are not as effective as others. Not all cases of refractory epilepsy can be cured by surgery, and according to foreign statistics, only 15% of patients with refractory epilepsy may be eligible for surgery. The comprehensive localization of the source of epilepsy is more important than the surgery itself. Otherwise, blind surgery will not only fail to stop the seizures, but will also lead to complications such as hemiplegia, aphasia, and memory loss. In short, surgery for epilepsy should be done with great care.