Victor Horsely on a patient with scar in the motor cortex and epilepsy, referred to him by Huglings Jockson, neurologist at National Hospital, Queen Square, Lon don.1 Interestingly the first patient was evaluated for surgery only clinically. No radiological and electroencephalographic studies were done. Thus epilepsy surgery began with careful clinical evaluation and a close cooperation between neurologist and neurosurgeon. Since then surgery has been accepted as a form of treatment for epilepsy. However, until recendy epilepsy surgery has been a luxury, accessible only to patients in countries with established market economies and in countries with very high economic growth.