Wegoye, EmmanuelBieber, DavidKhisa, ShadrackMoskalyk, KhrystynaMutonyi, BrendaNantongo, BettyIdro, RichardVicenteno, MarianaPadilla, ErikAbdelmageed, SunnyGarcia, M RoxannaSebunya, RobertOkechi, HumphreyWidjaja, ElysaLam, Sandi2026-10-102026-10-1020250022-3085http://hdl.handle.net/20.500.12280/3293As many as 80 million people in the world have epilepsy. Those living in the developing world are disproportionately affected. Approximately 770,000 people in Uganda are affected by epilepsy. Drug-resistant epilepsy affects approximately 30%–40% of patients with epilepsy, and one-third of these patients may be eligible for surgical management. This article describes the formation of an epilepsy monitoring unit in Uganda as the first step toward establishing a surgical epilepsy program for pediatric patients. A hybrid remote and in-person collaborative model was developed between teams in Mbale and Kampala in Uganda and Chicago in the US. The authors describe a process that spanned 2 years (2021–2023) for developing readiness for referrals for pediatric epilepsy surgery candidates in Uganda.enDrug-resistant epilepsyEpilepsy monitoring unitElectroencephalogramEpilepsy surgeryLow- and middle-income countryOnline learningVirtual multidisciplinary clinicArticlehttps://doi.org/10.1007/978-3-031-32035-4_158-1