Most patients with epilepsy look like normal people when they are not having a seizure, and even when they are seen in the hospital, they often cannot even tell which is the patient and which is the patient’s family. Patients are also often unconscious during a seizure, or they are aware at first and soon become unclear, and therefore unable to recall the feelings and state of the seizure (with a few exceptions, of course). Family members’ descriptions of the patient’s state during a seizure are also one-sided and subjective, and the details needed by the physician are often not provided, making it easy to mislead the physician. Now that living conditions have improved, many families have digital cameras (or camcorders) with video recording, and most cell phones also have video recording capabilities, so I suggest that it is very important to try to record the seizure and provide it to the doctor during the visit! The first thing to do is to ensure the patient’s safety. A seizure is usually very short and does not require special treatment, and the common method of pinching a person has not been proven useful. What needs to be done is to let the patient avoid outside injuries (scratches, burns, bruises, falls, etc.), you can put the patient down (bed, sofa, floor are available), do not have sharp objects around, and if there is more food or secretions in the mouth, you can help remove or wipe it to avoid accidental aspiration. If a generalized tonic clonic grand mal seizure lasts more than 5 minutes without relief, you should be sent to the hospital to take measures. 2. Start the video as early as possible. If there is only one family member, you can start immediately as long as the patient’s safety is ensured. If there are two family members, one of them should protect the patient, and the other one can start video recording. Usually at home should be placed in a convenient place to access the video equipment, and should be familiar with the use of the method. 3, the technical points of the video, because of the suddenness of the incident, it is difficult to achieve the video effect like a movie, but the good thing is that we doctors are not very high aesthetic requirements. The important thing is that the scope must include the whole body of the patient. Often we see families bring in video footage of only one face, which does not meet our requirements. Try to face the front of the patient and include all the limbs, while the light is as good as possible. If it is nighttime, all the lights can be turned on, and if the background is a window during the day, the curtains can be drawn to avoid backlighting. In conclusion, the patient’s status during a seizure is very important to the physician, and many types of seizures can be clearly diagnosed as well as treatment options based on video alone. We hope that together we can make the diagnosis and treatment of epilepsy patients better.