During this “Decade of the Brain” there have been hopeful developments in childhood seizures. 1993, in particular has been an exciting time for physicians caring for patients with epilepsy. Three promising new antiepileptic drugs will be introduced and several more are undergoing clinical trials. Epilepsy surgery is becoming a more frequent option in children with medically intractable seizures, particularly those with catastrophic epileptic syndromes. Improved anatomic and functional neuroimaging has improved our ability both to detect brain anomalies responsible for seizures and to localize the epileptic focus. The increasing availability of new antiepileptic drugs coupled with the increasing success of epilepsy surgery has dramatically improved the life of many children with epilepsy.