Peripheral vertigo can have multiple causes. It is essential for a specialised ENT physician to perform a careful otoneurological assessment to identify the cause and initiate appropriate treatment. If in doubt, any central cause must be eliminated by imaging. In the end, treatment is medication and sometimes intratympanic administration of nanomolecules such as dexamethasone or gentamicin sulphate for Meniere’s vertigo when refractory to all other medical treatment. Lastly, vestibular rehabilitation can be initiated by specialised physiotherapists. This can often alleviate the patient's symptoms.