Treatment methods for Meniere’s disease are generally divided into non-surgical and surgical treatments. According to the characteristics of the disease, treatment methods are divided into non-destructive methods, which can protect or promote the return of vestibular or auditory function while controlling vertigo, and destructive methods, which damage vestibular or auditory function to varying degrees. Common non-destructive methods include (1) lifestyle changes; (2) medications: diuretics, glucocorticoids (systemic, postauricular, tympanic), anti-vertigo drugs (e.g., diphenhydramine, scopolamine), circulation-improving drugs (calcium blockers, H1-histamines); (3) external auditory canal pressure modification therapy; and (4) endolymphatic sac decompression. Common destructive approaches include (1) semi-destructive: hemi-gauge canal tamponade, vestibular neurectomy or Scarpa ganglionectomy, chemical vagotomy, cochlear balloon surgery; (2) destructive: vestibular cochlear neurectomy, other procedures. In addition, cochlear implantation can be performed for advanced Ménière’s disease, which can control vertigo and restore hearing. Destructive treatment is suitable for patients with refractory vertigo. In the early stage, non-destructive treatment should be chosen as much as possible. Among them, endolymphatic sac decompression surgery has a special status and is a functional surgery. Its characteristics are: ① it can reduce the pressure of endolymphatic sac; ② it can reduce the pressure of blood vessels; ③ it can reduce the inflammation around endolymphatic sac; ④ it can improve the longitudinal flow of endolymphatic sac; ⑤ it does not destroy the blood supply of endolymphatic sac; ⑥ it is a simple and safe operation. The efficiency of early implementation can reach more than 90%, while the effect of late implementation decreases dramatically because balloon fibrosis, endolymphatic sac atrophy and epithelial loss, endolymphatic duct atrophy, and endolymphatic duct valve stenosis and atresia occur in patients with advanced disease. Moreover, most patients with Ménière’s disease start unilaterally, but after many years, a significant percentage of patients develop bilateral symptoms, and after performing endolymphatic bursal surgery on one side, the chance of developing the opposite side decreases, so bilateral Ménière’s disease endolymphatic bursal surgery is preferred. In conclusion, don’t be afraid of having Ménière’s disease, different treatments can be used at different times, and there is absolutely no need to passively suffer from vertigo, deafness and tinnitus. Moreover, surgery is one of the most important means of treating Ménière’s disease.