In the first installment of this series (Exceptional Parent Magazine, May 2010), the author discussed epilepsy surgery performed in persons whose areas of brain abnormality were initially deemed to be too extensive to safely perform a resection of the involved area. The process leading to surgical remediation for seizures is an involved one, but not necessarily a time-consuming process if performed by a dedicated team in a comprehensive epilepsy center. The goal of surgical intervention is to improve seizure control, but the definition of success after epilepsy surgery also includes improved quality of life with fewer seizures and fewer medication side effects. It is imperative that the work up and the decision making process be made by a team skilled in the care of patients with epilepsy and their families. In this article, the author gives an overview of the process leading to epilepsy surgery and then presents cases of some more patients who underwent surgery.