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Hacettepe Üniversitesi Tıp Fakültesi Nöroşirürji Anabilim Dalı, Ankara The author reviewed the hemispherectomy technique and its variations used in the management of epilepsy patients. Anatomic hemispherectomy and functional hemispherectomy techniques are described briefly and the history of development of hemisherotomy technique is described with details. Advantages and disadvantages of these techniques are discussed. The development of hemispherotomy technique, indications, variations of this surgical technique are described and technical details and results are discussed. it can be summarized that hemispherotomy seem to have fewer per-operative problems, better . outcome, although it is technically more challenging. Anahtar Kelimeler : Hemispherectomy, Hemispherotomy, Epilepsy Surgery