OBJECTIVE: To establish a method for the concentration determination of gabapentin (GBP) in human plasma. METHODS: After precipitated by methanol, using sulfamethoxazole as internal standard, LC-MS/MS method was adopted. The determination was performed on Diamonsil C18 column with mobile phase consisted of water (containing 0.05% formic acid)-methanol using a gradient elution program at the flow rate of 1 mL/min. The column temperature was 30 ℃, and sample size was 20 μL. The ESI was equipped and quantitative analysis was operated in positive ion and MRM mode. The mass transition ion-pairs were followed as m/z 172.0→154.1(GBP) and m/z 279.0→124.0 (internal standard). RESULTS: The linear range of GBP was 13.4-10 720.4 ng/mL (r=0.992 3,n=5). The limit of quantitation was 13.4 ng/mL, and the minimum detection limit was 4.0 ng/mL. RSDs of inter-day and intra-day were all lower than 10%. Relative errors ranged -4.93%-5.10%. The recoveries ranged 86.2%-90.3%(RSD<5%,n=6), and matrix effects ranged 87.6%-92.1%. The plasma concentration of GBP in 10 epileptic patients ranged 2 075.19-4 078.87 ng/mL (n=20). CONCLUSIONS: The method is proved to be sensitive, specific, practical and suitable for plasma concentration monitoring and pharmacokinetic study of GBP in epileptic patients.