Low grade gliomas are slow-growing brain tumors that are divided into grades I and II. Grade I tumors have low proliferation and discrete imaging features, while grade II tumors often present with seizures and have nuclear atypia and infiltration on imaging. Molecular markers like IDH1 mutations, 1p19q co-deletions, and MGMT methylation correlate with improved survival. Initial management involves seizure control and surgery if symptomatic, followed by radiotherapy and chemotherapy depending on factors like age, symptoms, and molecular characteristics. Long-term follow up is needed due to the risk of progression to higher grade glioma over time.