Providing Surgery for Medically Intractable Epilepsy in Low- and Middle-Income Countries: Shifting the Focus From If to How.

Low- and middle-income countries (LMICs) represent a disproportionately high burden of epilepsy globally.1 Although many people with medically intractable epilepsy (MIE) can benefit from surgery, access is limited, particularly in LMICs. The Lancet Commission on Global Surgery has recommended a list of bellwether procedures that should be prioritized in LMICs, but neurosurgical interventions, including epilepsy surgery, were absent.2 Given the pressing, unmet need to deliver effective and sustainable treatments for epilepsy in LMICs, the assessment of surgical outcomes in LMICs that would support the prioritization of resource allocation is increasingly important.