Background <p>The transition to adulthood is a&#xa0;vulnerable phase in the development of people and illness-related factors can substantially disrupt the individual developmental chances of people with epilepsy. Treatment concepts for young adults with epilepsy should therefore not only cover medical aspects.</p> Research question <p>Presentation of problems based on characteristic disease courses, systematic presentation of relevant disease-related aspects in transfer and transition in epilepsy. Targeted illumination of factors that are relevant with respect to the care, adherence and participation of young adults with epilepsy.</p> Material and methods <p>Summary and discussion of original and review articles as well as expert recommendations.</p> Results <p>As disease-associated factors in epilepsy can have long-term effects on the individual development, a&#xa0;structured transition to adult medicine is crucial. Various key factors should be taken into account in the treatment concept, including not only the course of the epilepsy syndrome and the effect of seizure suppressants but also social aspects and individual life planning.</p> Discussion <p>The individual treatment concept for young adults with epilepsy should take both medical and nonmedical aspects into account. Optimal communication between healthcare providers and high treatment adherence increase the chances of a&#xa0;favorable disease progression and optimal psychosocial development.</p>