Epilepsy surgery is an important treatment for epilepsy currently performed in large neurosurgery departments, and some refractory epilepsies can be cured by this surgery. However, not every patient is suitable for epilepsy surgery, and the scope of epilepsy surgery is particularly applicable. First of all, the pathogenetic characteristics of epilepsy need to be considered, and the conditions for which epilepsy surgery is chosen include: ① Secondary seizures due to intracranial occupational lesions, such as seizures secondary to intracranial cysts and cerebral hemorrhage. ②Drug-refractory epilepsy: After scientific diagnosis and regular and systematic medication treatment with 2-3 major antiepileptic drugs for more than 2 years, those with poor results are called refractory epilepsy and can be considered for surgical treatment. (3) If seizures significantly affect the patient’s daily life, especially in infants and children with frequent seizures, surgery should be considered as early as possible to stop the effects of seizures on the development of brain function (generally considered to be more than 1 time/month). ④ Medication is moderately effective, but severe drug toxicities occur while on medication. Chronic psychosis and some mild seizures with insignificant impact on life are considered unsuitable for surgical treatment. Second, the ability to perform surgery is also considered through a preoperative evaluation. The preoperative evaluation of epilepsy is done to find the epileptic focus and to determine if that epileptic focus can be surgically removed. Only epileptic patients with limited epileptic foci and epileptic foci that are not in major functional areas can be operated on. Epilepsy is a manageable and treatable disease. Statistics show that 70% of patients with epilepsy can be controlled by medication, and the key to treatment is to take the medication on time. In addition, 30% of patients with drug-refractory epilepsy can be treated with surgical procedures if the lesion is found. The principles of treatment are: priority is given to drugs if they can be controlled, and surgery should be considered in time if drugs are not controlled or the control effect is poor. Not all epilepsy patients are suitable for surgery because each epilepsy patient has a different physical condition and different degree of illness. Instead, it is best for epilepsy patients to choose their own treatment with the advice of their doctor. This is the only way to achieve better results.