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The change in QOLIE-10 score did not show correlation with age, whether seizure freedom or relative seizure reduction was used in the model. With QOL, before or after surgery, being independent of a patient's age, our findings suggest that well-selected older adults and the elderly should be offered epilepsy surgery without concern for an inferior improvement in QOL compared to their younger counterparts. With QOL, before or after surgery, being independent of a patient's age, our findings suggest that well-selected older adults and the