This review is a report from the Epilepsy Specialist Symposium presented at the 2017 American Epilepsy Society Meeting in Washington DC. The faculty, through their amazing enthusiasm, delivered outstanding content so that nearly everyone in the room learned something new. The symposium was aimed at understanding the semiology of insular seizures, the invasive and noninvasive investigation of the insula, and surgical approaches. As the organizers, we would like to thank the faculty for their excellent contributions and for setting a high standard for future symposia.