Traumatic epilepsy has always been treated mostly with medication. However, if the patient’s condition is more serious, it is necessary to use surgery for epilepsy treatment. Here we will learn more about the principles of surgical treatment for traumatic epilepsy! 1, internal medicine treatment first to determine the type of epilepsy, combined with the EEG, the selection of appropriate antiepileptic drugs. The principles of medication are as follows: (1) the time of taking medication should be based on the time of seizure; (2) use commonly used drugs first, start with one and sufficient dose, gradually increase the dose when it is ineffective, and then ineffective when it can be combined; (3) during the medication period, it should be tested to see if it achieves the effective blood concentration, and regularly check the blood image and liver function, and if there is any allergy or toxicity symptom, the medication should be stopped in time or change the medication; (4) medication should be continuous, or it is ineffective. (5) Drug therapy should be continuous, otherwise it is ineffective; replacement, increase or decrease should be carried out gradually, and sudden stopping of drugs can often lead to severe seizures. 2. Surgical treatment refers to the resection of epileptic foci, and patient selection is particularly important. Preoperative EEG screening is of great significance. The indications for surgery are: (1) the lesion should be in the non-functional area; (2) there is a fixed and limited epileptic focus in one hemisphere of the brain as confirmed by several EEG examinations; (3) cases meeting the above conditions are ineffective after systematic drug treatment.