We have been running a multidisciplinary RNS clinic since 2021 and advocate for such an approach. Our team has been able to achieve better than published results with RNS. Our team consists of Neurologists, a Neurosurgeon, a coordinating nurse practitioner, a neuropsychologist, a social worker, and the RNS representative. Our clinics involves data review, deliberation, patient evaluation, planning for changes to RNS settings, and follow-up. We have identified certain principles to RNS care. Namely, these are the requirement of patient engagement, early acknowledgement that network modulation takes time, and that once placed and RNS cannot be seen as having failed until 3 years of active engagement have been achieved. We believe that all centers providing RNS therapy should employ a structured multidisciplinary approach to achieve the best outcomes in the shortest time.