Age is but a number when considering epilepsy surgery in older adults.

•Advanced age should not be a deterring factor in considering epilepsy surgery•At 6 years follow up two thirds of patients remained seizure free•Similar factors to younger patients, such as bilateral interictal discharges and non-lesional epilepsy, are associated with poorer outcomes•Longer duration of epilepsy was not necessarily associated with a poor surgical outcome•Complication rates were low and all were reversible