Epilepsy surgery is now accepted as a well proven therapeutic strategy for resistant epileptic patients either adults or children. Even though investigations and surgical techniques are similar in both groups, epileptic surgery in paediatric patients has some particularities. Epileptic aetiologies can differ in children, the disease occurs in an immature brain, at a time of intense plasticity, especially in younger patients. When treating a paediatric epileptic patient, one must not only consider seizure control but also cognitive, social and behavioural developments. Surgery should be considered in all patients with refractory epilepsy and potential candidates to surgery should be oriented to a specialized center, where a multimodal and multidisciplinary workup is available, allowing to determine if surgery is to be considered, depending on the results.