Epilepsy, commonly known as crohn’s disease, is a clinical syndrome caused by highly synchronized abnormal discharges of neurons in the brain from a variety of causes. Epilepsy has a genetic predisposition, and many studies have shown that the offspring of epileptic patients are more likely to develop epilepsy than normal people. It is important to note that although epilepsy has a genetic predisposition and the prevalence of epilepsy in children of epileptics is about 2.4% – 4.3%, the vast majority of people with epilepsy can still have children. Because children with epilepsy are more likely to have epilepsy than the general population, it is more important for people with epilepsy to pay attention to eugenics. For patients with epilepsy who have a clear family history, genetic diagnosis can be performed to look for the type of gene that causes the disease and to determine if fertility is possible. In addition, patients with epilepsy should avoid choosing a spouse who also has epilepsy to avoid increasing the incidence of their children. For female patients, they should choose to plan childbirth after the epilepsy symptoms are fully controlled and the antiepileptic drug therapy is gradually reduced to the lowest maintenance dose or discontinued for at least six months to ensure that the harmful effects of antiepileptic drugs on the fetus are minimized. After pregnancy, patients with epilepsy should pay attention to regular maternity checkups, enhanced fetal testing, and multifaceted protection to ensure a healthy fetus. In summary, epilepsy has a certain genetic predisposition, and patients with epilepsy who have the requirement to have children can go to medical institutions in advance for genetic counseling, complete relevant genetic diagnosis and other tests, and strengthen protection to avoid the onset of disease in their offspring if they are allowed to have children.