The majority of experts believe that surgical treatment can be considered for patients who do not respond well to drug therapy. Surgery can only be performed in cases where a detailed preoperative localization evaluation is appropriate. In some patients, if a seizure focus can be found after preoperative evaluation, the seizure focus can be resected. Patients who do not find a clear seizure focus or whose seizure focus cannot be resected can undergo palliative surgery. Epilepsy surgery has been performed for more than 100 years, but it was not until the 1980s that it was gaining traction. In the past, patients with epilepsy often received years or even more than 10 years of failed drug therapy before surgery was considered. The current view is that after failure of standardized treatment with medications, the earlier surgery is performed for patients who are candidates for surgery, the better the surgical outcome. Therefore, the current widely adopted approach is to consider surgery when seizures remain difficult to control after 1-2 years of regular treatment with 2-3 appropriate antiepileptic drugs. However, for patients who have not undergone formal diagnosis and regular medication before, it is important to adjust the treatment plan before standardizing the medication and observe for a period of time before making a decision.