� Refractory epilepsy or difficult-to-treat epilepsy is not uncommon; it is a known entity even in the best medical treating hands. � It is better to revise the whole history before labeling a case as refractory epilepsy. If possible, it should be reviewed by a different specialist. Pseudoseizures should be excluded. � Alternatives to medical treatment like vagal nerve stimulation and surgery can be tried. � Each and every disease is not 100% treatable or curable so dont lose your heart (advice to the treating doctor). � Do not hesitate in referring to your colleague, may be he can do better though the chances are rare. � Education program for patient and/or relatives is important.