Epilepsy is a brain dysfunction syndrome characterized by abnormal neuronal discharges in the brain causing recurrent epileptic seizures, and its occurrence is related to genetic factors, but most of the idiopathic epilepsy is monogenic, and not all offspring develop the disease, but the incidence is greater than that of ordinary people. As to whether or not a person with epilepsy can have children, it still depends on the patient’s own situation. If both spouses or the woman has primary epilepsy and there is a clear family history of epilepsy, it is important to avoid having children from a eugenic perspective. For patients with secondary epilepsy without 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 before a decision can be made to have a child.