**Vagus Nerve Stimulator (VNS) Study** The study is to see if a new way to program a Vagus Nerve Stimulator (VNS) device can reduce seizures faster than the usual way. A VNS device is a tool used for helping people with epilepsy, a condition that causes seizures. The new method is called "Augusta Way," and researchers want to compare it to the standard method. **Key Points:** - **Study Visits:** Participants need to attend up to 3 visits every 3 months for 2 years. - **Activities:** Participants will answer questions about their quality of life and brain function and keep a diary of their seizures. - **Eligibility:** Only those who are candidates for VNS for seizure control and can give consent may join. The study will check if the new method is safe and better at reducing seizures. Participants must not have other conditions that require a VNS or cannot have surgery. This study is important for finding better ways to help people with epilepsy manage their seizures.