Epilepsy is a clinical syndrome caused by highly synchronized abnormal discharges of neurons in the brain due to multiple causes. The treatment of epilepsy is complex and diverse, and its treatment mainly includes medication or surgery. An individualized treatment plan based on the patient’s seizure type and physical condition and other factors is the best treatment for epilepsy patients. When the diagnosis of epilepsy is established, the patient should choose the appropriate medication to treat and control the seizures according to the cause, age and seizure form of epilepsy under the guidance of a professional neurologist. In the process of treatment, we should pay attention to regular review to detect the efficacy and toxic side effects of the drugs, and reduce and stop the drugs under the guidance of physicians after achieving long-term control. If medication is not effective, or if there is a clear pathogenic focus in the brain and the risk of surgery is low, surgery may be used. Surgical procedures include resection, palliative surgery, neuromodulation surgery, etc. The appropriate surgical procedure should be selected according to the patient’s condition. In addition, lifestyle interventions in epilepsy treatment are also very important, both to take medication on time and in the right amount, and to maintain healthy work and rest habits to avoid exertion, hunger, emotional excitement or infection to maximize seizure control and reduce damage to the organism. In summary, the treatment of epilepsy patients is still dominated by medication, but there is no certain fixed best treatment method. A suitable individualized plan should be developed under the guidance of a professional physician according to the patient’s age, gender, medical history, seizure type, and other aspects, and attention should be paid to daily protection.