People with epilepsy and their families can be more anxious. It has been found that about 20% of people with epilepsy have a comorbid anxiety disorder, and the reasons for this are complex. Epilepsy is inherently a lesion of the brain; the damage to the brain from each clinical seizure, or from EEG release despite the absence of seizures; the physical and psychological impact of long-term medication on the patient; economic factors and the expected impact on work; and so on, all of which can cause anxiety in patients. Patients who are accompanied by anxiety will have much less compliance with their medication. Patients lack patience for long-term medication and are always eager to find a way to “cure” them completely: some patients prefer to spend a lot of time and energy seeking different treatment options in different hospitals rather than treating them seriously for a period of time. There are many clinical examples of patients who have spent years searching for a “cure” and ended up delaying the disease. If they had been patient and persistent in their treatment, I am afraid they would have recovered. Recently, a patient came from Jiangxi. The patient, a 25-year-old male, had seizures of dullness, left upper limb lifting, stiffness, and turning for 2 minutes each time for 2 years, and the seizures were frequent at the beginning, mostly at night. He was treated with “epilepsy” at the local hospital and took 200 mg of carbamazepine every night, which significantly reduced the seizures and now he has only one seizure in 2-3 months. The patient found it troublesome to take the medication and suspected that the medication would produce significant adverse effects, so he took the medication irregularly, stopping it when there were no seizures, and then treating it for several weeks after a seizure. Recently, he came to seek treatment because he had seizures during the day and felt “humiliated” in front of his colleagues. He wanted a simple and complete cure. His past history was unremarkable. No abnormalities were found in the cranial CT examination at the local hospital. The 24-hour EEG showed right-sided occipital and frontal spike-wave emission. The patient strongly requested for surgery. He thought that surgery was the only way to cure the disease completely and that long-term medication was troublesome. I gave him an analysis: from the seizure symptoms in the medical history and the EEG results, the diagnosis of epilepsy was clear; the medication was effective, and the seizures decreased significantly after taking carbamazepine. It should not be used in patients with effective medication, unless there is a clear lesion or tumor, and should not be operated for fear of trouble; seizure sparse patients have difficulty in locating the seizure focus, generally speaking, the patient must be tested for seizures before surgery, and if there are more than 3 times the same seizures during the testing period, and the EEG origin are the same, only then can the seizure focus be identified, and only if it is clearly located can the goal of no seizures be achieved. Finally, there is the issue of cost. Patients must be tested for EEG for several days before surgery, and even intracranial electrodes, MRIMRS, and PET-CT are required, all of which are very expensive. In general, the success rate of surgery depends on the accuracy of preoperative localization, and only some patients can achieve seizure-free after surgery, while others can only reduce seizures and require long-term medication after surgery, so surgery is of little value for those with sparse seizures, unless the lesion is clear. In the end, the patient followed my advice and temporarily gave up insisting on surgery. Many times, patients lack confidence in the treatment, or force their doctors to keep adding and changing medications, or force themselves to keep changing doctors, which gives some unscrupulous “doctors” the opportunity to cheat them out of money.