dog's quality of life (QoL) is of greatest importance to them above their seizure frequency; however, 5 much of the research into canine IE to date has focussed on seizure frequency, and how to reduce it 6 via anti-epileptic drug treatment. In humans, the impact of epilepsy upon QoL has been widely studied, 7 exploring its impact on physical health, but also the psychological health and cognitive capabilities of 8 affected individuals. This paper reviews the existing literature on canine IE, identifying potential 9 threats to QoL, drawing parallels from human epilepsy research. We suggest that canine IE poses 10 threats to both quality and quantity of life, with treatment interventions posing a fine balance of 11 potential benefits and harms to the patient. At present, little is known about the neurobehavioural, 12 emotional and cognitive effects of IE upon affected dogs, with further studies needed to establish the 13 extent to which unknown QoL-inhibiting comorbidities exist in the dog, to avoid their undertreatment. 14 More in-depth studies are required to objectively quantify the effects of IE on QoL