Managing restless legs syndrome is about tailoring treatment to how the symptoms affect the patient, especially sleep and daily function. A plan often starts with lifestyle measures and addressing iron status, but the need for medication depends on how bothersome the symptoms are and any other health issues. Medications commonly used include dopamine agonists or gabapentinoids, and iron supplementation is given if ferritin is low; the dosage and choice are adjusted to the individual’s response and risk of side effects or augmentation. This makes the statement that treatment is individualized and may involve pharmacotherapy the best fit. It recognizes that some patients may do well with nonpharmacologic measures alone, while others require meds to relieve symptoms and improve quality of life. The other options are less accurate because pharmacotherapy does have a role, lifestyle changes can be beneficial, and even mild cases may still be managed with a tailored approach rather than a blanket stance.