Video-EEG (VEEG) monitoring is now commonly used in children. When designing a pediatric video-EEG monitoring unit, there are many issues that need to be considered to take full advantage of this technology. Topics such as the physical layout of the VEEG unit, VEEG equipment, networking, staffing, and lines of communication regarding referrals and VEEG interpretation must be considered. Only after careful consideration of these issues, can video-EEG monitoring be successful and provide safe, state of the art clinical care in an efficient manner.