Background: Epilepsy surgery remains one of the most underused of all current medical interventions. It is estimated that less than 1% of patients with drug-resistant epilepsy are referred to specialized centers. The average delay from onset of seizures to surgical procedures is between 10 to 20 years Methods: In this study we describe the waiting times from the diagnosis of epilepsy to the assessment and epilepsy surgery at the epilepsy center of the University of Saskatchewan (SEP) Results: We included 70 patients assessed in the epilepy program between 2007 and 2015. Mean age of patients was 42.2+13. The time from the diagnosis of epilepsy to the referral was 16 years. The times for the for assesment and testing were the following: to the first consult with the epileptologist was 208 months, to the neuropsychological test was 201 months, to the video-EEG telemetry 219 months, to the first consult to neurosurgery 227 months and finally to the epilepsy surgery was 238 months. Conclusions: This study shows that patients with complex epilepsy in Canada are waiting significant time to be properly diagnosed and treated. Our study shows similar waiting times to otehrdeveloped countries suggesting a global problem in the reference of patients to epilepsy programs.