en Neurosurgery Neurosurgery Review Article Review Article <font size="2" face="TimesNewRoman"><font size="2" face="TimesNewRoman"><p align="left">Of about 40 million people with epilepsy, who live in developing countries, the majority do not</p><p align="left">receive appropriate treatment. Nonetheless, there are striking disparities among the so-called developing countries,</p><p align="left">however generally speaking, access to and availability of epilepsy management programs in developing</p><p align="left">countries are very limited and therefore, the issue of developing epilepsy centers in resource-limited settings in a</p><p align="left">large scale is very essential. The surgery for epilepsy, including temporal lobotomy, lesionectomy and corpus</p><p align="left">colostomy, for patients with medically-refractory seizures, defined as failure of adequate trials of two tolerated,</p><p align="left">appropriately chosen and using antiepileptic drug to achieve sustained freedom, from seizure has been proved to</p><p align="left">be feasible and cost-effective in developing countries. However, the success of epilepsy surgery depends upon</p><p align="left">the accurate identification of good surgical candidates based on the available resources and technologies without</p><p align="left">jeopardizing safety. In the current paper, we will share our experiences of establishing an epilepsy surgery program</p><p align="left">in Iran, despite all short-comings and limitations and try to provide some answers to those challenges,</p><p>which helped us establish our program.</p></font></font> Epilepsy surgery, Developing country, Limited resources, Iran. 150 155 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-653&slc_lang=en&sid=1 Ali A Asadi-Pooya aliasadipooya@yahoo.com 200319475328460012928 200319475328460012928 Yes Neurosciences Research Center, Department of Neurology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran, &Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, USA. Nahid Ashjazadeh nahidashjazadeh@yahoo.com 200319475328460012929 200319475328460012929 No Neurosciences Research Center, Department of Neurology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Ahmad Kamgarpour bagherih@sums.ac.ir 200319475328460012930 200319475328460012930 No Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Mousa Taghipour m_farazdaghi@yahoo.com 200319475328460012931 200319475328460012931 No Neurosciences Research Center, and Department of Neurosurgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Seyed Mohamad Rakei sinaloo@sums.ac.ir 200319475328460012932 200319475328460012932 No Department of Neurosurgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Mohsen Farazdaghi . a.kamgarpour@gmail.com 200319475328460012933 200319475328460012933 No Department of Neurology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Soroor Inaloo rakeim@sums.ac.ir 200319475328460012934 200319475328460012934 No Neonatal Research Center, and Department of Pediatrics, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Hadi Bagheri ali.razmkon@gmail.com 200319475328460012935 200319475328460012935 No Medical Imaging Research Center, and Department of Radiology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Ali Razmkon taghipom@sums.ac.ir 200319475328460012936 200319475328460012936 No Neurosciences Research Center, and Department of Neurosurgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. Zahra Zare zzare@sums.ac.ir 200319475328460012937 200319475328460012937 No Department of Radiology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.