The author describes step by step, (i) Is it a seizure?, (ii) Rule out common conditions which are often confused for a seizure but are not, (iii) What is the type of seizure?, (iv) Look for etiology, (v) Look for precipitating causes, (vi) Investigations to order, (vii) When not to start antiepileptic drugs, (viii) When to start antiepileptic drugs, (ix) Which antiepileptic to choose, (x) What to do when seizures recur despite therapy?, (xi) When to stop drugs, (xii) Special situations: Febrile seizure, (xiii) When to refer for epilepsy surgery, (xiv) When to consider ketogenic diet.