The surgical programs at CHLA welcomed Jason Chu, MD, as a new epilepsy neurosurgeon in 2018. Dr. Chu did his fellowship training at Texas Children’s Hospital before joining CHLA. In addition, 2018 marked the establishment of the Rosa Robot program for both stereotactic EEG as well as Visualase laser ablation. CHLA continues to be one of the leading centers for implantation of the new Livanova SenTiva autostimulation vague nerve stimulator. CHLA has also integrated EEG source localization into the surgical program, one of the few facilities to offer this technology. The facilities for epilepsy care saw substantial improvements in 2018-19. A playroom has now been hardwired for EMU patients staffed by child life experts to allow for continuous acquisition of data during activities. This is one of the only such facilities in the Western USA. The epilepsy monitoring unit at CHLA relocated to quieter wing of the hospital, expanded to 6 beds to allow faster access and accommodate more patients. We also installed new advanced equipment throughout our hospital within the EMU, outpatient lab and for inpatient monitoring. With this new equipment purchase we expanded our inpatient monitoring capabilities from 3 to 5 patients at a time. We offer inpatient 24/7 video/EEG monitoring to all patients within CHLA who are suspected of having seizures. The CHLA diet therapy program saw substantial upgrades, including the addition of a second (bilingual) dietician. In addition, a monthly modified Atkins cooking class is now offered in both English and Spanish. This year we increased capacity of our New Onset Seizure clinic which sees children within 10 days of their first seizure with an EEG prior to the appointment. The Genomics program at CHLA has expanded the epilepsy gene panel currently offered to include over 200 genes, with a rapid turn-around time and a new full time genetics counselor working within the neurology department to offer personalized medicine. This year marked the inaugural graduation class of the CHLA ACGME approved Pediatric Epilepsy Fellowship, one of currently six such programs in the USA.