The analysis encompassed 382 pediatric patients (Male:57.9%) with a mean epilepsy duration of 7.5 years (SD: 5.3). The average age at MRgLITT was 4.3 year (SD:4.6). Focal seizures were predominant (87.7%). The median number of anti-seizure medications tried was 3. Lesional MRI was evident in 82.0% of cases. The major epilepsy etiologies included hypothalamic hamartoma (25.9%), malformations of cortical development (23.2%), and tuberous sclerosis complex (10.4%). Prior epilepsy surgery was reported in 19.4%. The Visualase system was employed in 89.6% of cases. Robotic-assisted stereotaxy was the most used stereotactic technique (53.7%). Post-operation, the mean length of hospitalization was ≤2 days for 65.7% of patients. Seizure recurrence was noted in 46.5% of cases, with a mean time to recurrence of 8.2 months (SD: 6.3). Engel-1 outcomes were achieved in 57.6% of patients. During the mean follow-up of 15.8 months (SD: 11.3), 7.6% underwent revision epilepsy surgery. The detailed examination of descriptive data yielded a thorough profile of the study population yet failed to highlight any statistically significant patterns correlating with seizure recurrence.