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Reflex epilepsies are characterized by the presence of epileptic seizures, which are consistently or stereotypically evoked by a specific afferent stimulus (i.e., flashes of light, startles, a particular movement, or cognitive task). Seizures in them are generally refractory to medical treatment requiring polytherapy. Avoiding the trigger and antiepileptic therapy may likely abolish these seizures. However, in some cases, the use of specific technologies and addressing associated comorbidities may be necessary. In this study, we review the pathophysiological basis for different treatment approaches as well as recent advances in the management of reflex epilepsies.