Abstract: Epilepsy, a neurological disorder characterized by recurring seizures, affects a significant number of women in their reproductive years. While most pregnancies in women with epilepsy proceed without complications, there is a higher risk of maternal and perinatal complications compared to the general population. The management of epilepsy during pregnancy is challenging, particularly for those taking anti-epileptic drugs (AEDs). Although there is no permanent cure, proper preconception counseling and a multidisciplinary approach can greatly improve outcomes for both the mother and baby.