surgery at 40

Surgery should be a last option. Weight gain isn't the worst thing unless it is alot, and maybe someone else can adress that. Your liver filters every chemical you put in your body, that's it's job. Ibuprofen is just as hard on your liver as many "drugs". I off set that by drinking as much water as I can, the purer the better.

I hope you will explore the "Treatment" section of epilepsy.com to read more about epilepsy surgery and the other options now available. You can also find lots of "People Stories" (in the "Living with Epilepsy" section) in which people who have had surgery tell about the experience and what has happened to them since then. It does seem doubtful that a doctor will recommend that you have surgery if you haven't had any seizures for 5 years. You don't say whether you are having any serious side effects now from your medication. Many seizure medicines have the potential to cause liver damage but it only happens to a small number of people. Many new seizure medicines have come on the market in the past decade or so. If you are concerned about the one you're taking, talk it over with your doctor, after reading about it in the Seizure Medicines section of epilepsy.com!