The temporal lobe is located beneath the Sylvian fissure on both sides of the brain. It is involved in auditory perception, processing semantics, and forming long-term memory. Disturbances can be caused by ischemia, hemorrhage, lesions, trauma, or epilepsy. Left side lesions affect verbal and visual recall while right side lesions impact tonal recognition and face recognition. Temporal lobe epilepsy is common in Ecuadorian children and adolescents and is often complex partial type linked to behavioral and affective issues. Epilepsy surgery in Ecuador focuses on the temporal lobe.