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Marked underuse of resective surgery for drug-resistant focal epilepsy has not changed in recent decades. Although substantial accumulated evidence has demonstrated safety and robust efficacy for surgical epilepsy treatment (N Engl J Med 2001; 345:311 and Neurology 2003; 60:538), only about 3000 patients completed surgery resection evaluations in 2013 in the U.S., compared with an estimated 4500 new patients with surgically amenable drug-resistant focal epilepsy per year and 130,000 to 280,000 existing candidates (Neurology 2012; 78:1200 and National Association of Epilepsy Centers 2013 survey results [unpublished]). To study one important possible cause for this remarkable lack of employing such a potent treatment option, researchers surve…