Epilepsy is a brain dysfunction syndrome characterized by abnormal brain neuron discharges that cause recurrent epileptic seizures, and its occurrence is related to genetic factors. This is why more people are concerned that they will not be able to have children like normal people because they have epilepsy. Although epilepsy has a genetic predisposition, most idiopathic epilepsies are inherited monogenically. Not all offspring have epilepsy, but the incidence is greater than in the general population. The ability to have children with epilepsy still depends on the patient’s own circumstances. If the couple or the woman has primary epilepsy and there is a clear family history of epilepsy, there is a certain genetic predisposition, and having a child in this case may result in the inheritance of epilepsy. Therefore, from the perspective of eugenics, careful consideration is needed. For patients with secondary epilepsy who do not have a family history of epilepsy, it is advocated that neurologists and obstetricians and gynecologists work closely together to guide antiepileptic medication in appropriate amounts and consider pregnancy after the condition has been controlled, which is usually recommended about one year after cure. This is because seizures still occur during pregnancy, or continuing to take antiepileptic drugs in higher doses after pregnancy may have an impact on fetal development. In addition, you should pay attention to rest in life, avoid straining and staying up late, keep your mood relaxed and review your condition on time to avoid recurrence. Also, active and effective preventive measures should be taken during the delivery period to ensure a smooth delivery. In summary, most people with epilepsy can have children, and the deformity rate of the children born is very low and close to the level of normal people. Only individual types of epilepsy, suspected to be due to genetic problems, must be screened for genetic metabolism to determine whether a child can be born.