A common treatment for otolithiasis is repositioning with good results. Complete eradication should be treated with elective surgery, but this is rarely used nowadays. It can be combined with medication appropriately. 1. Repositioning treatment. It is one of the most commonly used methods to treat otolithiasis, among which manipulation is the most effective. Commonly used methods include Epley method and Lempert method. For those who have difficulty with manual repositioning, an otolith repositioning instrument can be used to assist repositioning. Some patients can be relieved by vestibular rehabilitation. 2. Surgical treatment. If the effect of repositioning treatment is unsatisfactory, the recurrence of the disease is more than 3-6 months, and it has a greater impact on daily life and work, surgical treatment can be used, and the commonly used surgical methods include semicircular canal occlusion and posterior pudendal nerve severance. Surgical treatment is rarely used. 3. Medications have a certain degree of auxiliary treatment for otolithosis, can relieve symptoms such as vertigo, commonly used drugs are iproniazine, betahistine and so on. The use of medication should follow the doctor’s instructions. For otolithosis, it is recommended to consult a hospital for diagnosis and standardized treatment.