150 patients, mean age at surgery 11.21 + 6.39 years, mean duration of seizures at time of referral 5.88 + 5.34 years and at surgery 7.86 + 6.15. 89 patients (59.3%) were of age less than 12 years (pediatric group). Most common pathology was Porencephalic cyst (33 patients, 30%), and MRI showed contralateral pathology in 15 patients (10%). EEG showed lateralized IEDs in 59 patients (39.3%) and ipsilateral ictal onset in 66 patients(44%). 71.3% were seizure-free and 78% had Engel class I outcome at last follow-up with mean follow-up of 8.42 years. Acute postoperative seizures (APOS), (OR 3.08; CI 1.23-7.69; p-value:0.016), and contralateral slowing in post-operative EEG at 1 year (OR 7.64; CI 3.25- 17.97; p-value:0.000) were independently predictive of poor seizure outcome. In survival analysis, the probability of seizure freedom was comparable between pediatric age and above, however, it was significantly higher in patients with epilepsy duration < 5 years (70% vs 50%; p value 0.047).